Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: no known allergies / adverse drug reactions attending: chief complaint: acetaminophen overdose major surgical or invasive procedure: intubation history of present illness: this is a 25 year old female with history of ivdu (clean since on maintenance methadone) who was found down on in a pool ov emesis with 1-2 bottles of acetaminophen/diphenhydramine as well as with empty wine and vodka bottles. she was discovered after she failed to show up for a mental health provider appointment and the police were called to check on her. she was intubated in the field then taken to osh where coma scale of 3. tox screen neg for everything but apap (initial apap level was 497) & methadone. initial abg showed metabolic acidosis (ph=7.12). lft's: ast=400 alt=200, normal bili, inr normal. head ct neg. qtc of .7 so mg given. she received oral nac load. after several hours at osh pt's ms improved so she sat up and tried to remove et tube and thus was extubated and able to follow commands. . she was transferred here and admitted to the sicu overnight given acidosis and concern she would need liver transplant. major active issues have been persistent confusion, which improved as of this morning, as well as opiate withdrawal and pain prior to having her methadone restarted today. she has continued on nac. other major issue has been acute kidney injury and rhabdomyolysis likely due to her time down for which she has received fluids with bicarbonate. as her lft's are trending down and her encephalopathy has dramatically resolved she is transferred to the medical floor for further evaluation and treatment. . currently, she endorses some soreness of her back and shoulders and sore throat as well as diffuse abdominal pain. she denies nausea/vomiting. she denies fevers, chills, or confusion at this time. . review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: - depression with prior suicide attempt in , ? of recent treatment through psychiatrist at - hepatitis c diagnosed in when she was getting clean of iv drugs, no history of biopsy or treatment - appendectomy - history of heroin use (last used in , on methadone program) - history of sinus surgery social history: smokes about ppd. unclear alcohol history prior to this episode. unemployed. reportedly recent breakup precipitating suicide attempt. no ivdu or heroin abuse since . on methadone maintenance. family history: cousin with schizophrenia physical exam: vs: tc 97.5 hr 122 bp 137/89 rr 20 pox 97 % los fluid balance + 2.7 l general: disheveled young woman sitting in bed, clutching a stuffed animal heent: normocephalic, anicteric, oropharynx w/o petechiae but some dried blood, tonsillar enlargement (2+) and white exudates on tonsil, mm appear dry lungs - ctab no wheezes, rhonchi, or rales, resp unlabored, no accessory muscle use heart - tachycardic, regular rhythm, no mrg abdomen- soft, diffusely ttp, no masses appreciated though exam of liver and spleen limited by pain extremities- wwp, no c/c/e, no petechiae, 2+ peripheral pulses skin - linear scarring on forearms bilaterally c/w self-injury neuro/psych - awake, a&ox3, able to do months of year backwards without prompting though with stops and starts, unable to do serial 7s, flat, strange affect pertinent results: labs on admission: 09:29pm type-art po2-98 pco2-22* ph-7.42 total co2-15* base xs--7 09:29pm lactate-2.5* 09:29pm o2 sat-97 09:29pm freeca-1.06* 09:23pm hiv ab-negative 09:00pm glucose-162* urea n-29* creat-1.6* sodium-137 potassium-3.5 chloride-98 total co2-18* anion gap-25* 09:00pm estgfr-using this 09:00pm alt(sgpt)-390* ast(sgot)-465* ld(ldh)-881* ck(cpk)-* alk phos-52 amylase-503* tot bili-0.7 09:00pm lipase-40 09:00pm ck-mb-greater th 09:00pm albumin-3.8 calcium-8.6 phosphate-2.0* magnesium-2.5 09:00pm wbc-27.8*# rbc-5.35 hgb-16.2*# hct-45.2 mcv-85 mch-30.3# mchc-35.8* rdw-13.3 09:00pm neuts-89.0* lymphs-8.0* monos-2.5 eos-0.1 basos-0.4 09:00pm plt count-455*# 09:00pm pt-21.8* ptt-37.2* inr(pt)-2.0* 09:00pm fibrinoge-290 09:00pm urine color-amber appear-hazy sp -1.026 09:00pm urine blood-lg nitrite-neg protein-100 glucose-70 ketone-40 bilirubin-neg urobilngn-neg ph-5.5 leuk-neg 09:00pm urine rbc-7* wbc-10* bacteria-many yeast-rare epi-1 09:00pm urine mucous-rare labs on discharge: 03:12am blood lipase-33 11:58am blood acetmnp-neg 09:40am blood wbc-8.5 rbc-2.95* hgb-9.1* hct-25.8* mcv-88 mch-30.8 mchc-35.2* rdw-15.8* plt ct-319 09:40am blood pt-13.6* ptt-27.4 inr(pt)-1.2* 09:40am blood glucose-98 urean-5* creat-0.7 na-141 k-4.0 cl-103 hco3-29 angap-13 09:40am blood alt-631* ast-60* alkphos-73 totbili-0.6 09:23pm blood hiv ab-negative 05:18am blood mg-1.6 iron-47 05:18am blood caltibc-243* ferritn-206* trf-187* reports: liver ultrasound with doppler: the liver parenchyma is diffusely hypoechoic. the intrahepatic biliary ducts are dilated and thickened. there are no focal hepatic lesions. the hepatic veins, hepatic arteries and portal veins are patent and normal in the direction of flow. however, there is marked increase of vascular resistance of the hepatic arteries, with increase of velocity up to 91 cm/sec. the gallbladder is normal without stones. the cbd measures 7 mm in diameter. the spleen measures 10.1 cm. impression: 1. diffusely hypoechoic liver parenchyma, compatible with diffuse parenchymal edema seen in acute hepatitis, as in the case, known acetaminophen-induced injury. 2. diffusely dilated and thickened intrahepatic bile ducts, unclear etiology. 3. major intrahepatic major vessels patent and normal in direction of flow. abnormally high diagnostic flow in the hepatic arteries, of uncertain etiology. chest radiograph indication: questionable aspiration pneumonia or volume overload. followup. comparison: . findings: as compared to the previous radiograph, the bilateral basal parenchymal opacities have substantially improved and have almost completely resolved. only at the retrocardiac right lung areas some residual areas of opacities are seen. unchanged course of the left central venous access line. no pleural effusions. no other focal parenchymal opacities. normal size of the cardiac silhouette. sigmoidoscopy , impression: stool in the rectum and sigmoid colon normal mucosa in the rectum and sigmoid colon grade 1 internal hemorrhoids otherwise normal sigmoidoscopy to sigmoid colon source of hematochezia from hemorrhoids. microbiology: 11:59 pm urine source: catheter. urine culture (preliminary): escherichia coli. >100,000 organisms/ml.. presumptive identification. herpes simplex (hsv) 1, igg test result reference range/units hsv 1 igg type specific ab <0.90 index hsv 2 igg type specific ab >5.00 h index brief hospital course: 25 y.o. with acetaminophen/diphenhydramine overdose from a suicide attempt found down and was admitted to the hospital with rhabdomyolysis and acute hepatitis. 1) acetaminophen overdose: the patient was started on n-acetylcysteine, and her lfts initially remained stable. however, on day 3 of hospitalization, the patient's lfts markedly increased with alt peaking in the 9000s and ast in the 8000s. the patient's liver synthetic dysfunction also was impacted with her inr increasing to a peak of 4.2. the patient responded to nac therapy and ivf and by the time of discharge her lfts had been downtrending significantly. her inr was 1.7 on (day 7 of hospitalization) and her nac was discontinued. 2) rhabdomyolysis and acute kidney injury: the patient developed acute kidney injury with creatinine elevating to a peak of 2.5. the patient was placed on iv fluids and by the time of discharge, her creatinine had improved to baseline at 0.7. her ck peaked at 9667 but was in the 100s at discharge. 3) suicide attempt: the patient's attempt was determined to be a serious attempt with low chance of rescue and premeditation. psychiatry evaluated the patient and felt that she was a danger to herself and a section 12 form was initiated. she was kept under 24 hour 1:1 monitoring. 4) urinary tract infection: the patient developed a fever on day 5 of her admission and was found to have a urinary tract infection by e-coli. the patient was started on ciprofloxacin for a 3 day course. 5) anemia: the patient's hematocrit dropped from 45 to 24.6 in the setting of large volume iv fluids. the patient endorsed having a bowel movement with blood; this was evaluated by flexible sigmoidoscopy, and the patient was noted to have hemorrhoids. a repeat hematocrit was performed on the same day of the bowel movement which contained blood, and showed a stable hematocrit at the time of discharge. iron studies did not show an iron deficiency anemia, and a reticulocyte index was low; it was thought that the damage sustained to the kidneys may have temporarily decreased the amount of erythropoietin produced, but that with further kidney recovery, the hematocrit would also improve. 6) respiratory distress: the patient developed mild pulmonary edema and tachypnea during her hospitalization secondary to iv fluids for her acute kidney injury. this had resolved by the time of discharge with the aid of po furosemide. 7) history of hepatitis c: patient's viral load on this admission zero, therefore she had cleared her hep c. 8) substance abuse: the patient came in on 75mg methadone daily for history of ivdu; this was decreased to 45mg in the setting of liver failure, but had been returned to her home dose by time of discharge. 9) code: full medications on admission: methadone 75 mg daily discharge medications: 1. methadone 10 mg tablet sig: 7.5 tablets po daily (daily). 2. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po every eight (8) hours as needed for nausea. 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. discharge disposition: extended care facility: - hospital - discharge diagnosis: acetaminophen overdose rhabdomyelysis acute kidney injury urinary tract infection discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , you were admitted to the hospital because you overdosed on benadryl and tylenol. this caused massive liver injury and you were given the antidote to tylenol. with treatment, your liver slowly improved. your kidneys also were damaged at the same time, but this resolved as well. you also had a urinary tract infection which were treated with antibiotics. you were seen by our psychiatrists who were concerned about this being a suicide attempt. you are being discharged to a psychiatric facility to help manage your depression. you have had the following changes to your medication: start zofran - 4mg every 8 hours as needed for nausea start prochlopherazine 10mg every 8 hours as needed for nausea start omeprazole 40mg daily followup instructions: you are being discharged to a psychiatric facility. once you leave there, you should follow up at the appointments that they schedule for you with your outpatient psychiatrist and primary care provider. you should also follow up with your maintenance methadone clinic. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: acidosis anemia, unspecified tobacco use disorder urinary tract infection, site not specified chronic hepatitis c without mention of hepatic coma acute and subacute necrosis of liver acute kidney failure, unspecified opioid type dependence, unspecified long-term (current) use of other medications encephalopathy, unspecified poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics rhabdomyolysis 

Answer: The patient is high likely exposed to