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: clindamycin / vancomycin attending: chief complaint: found down major surgical or invasive procedure: intubation history of present illness: the patient is a young caucasian male who was found unresponsive in the fens by ems, and who was subsequently intubated in the field and transferred to ed. no other pre-hospital data or documentation is available. . in the ed, initial vs were: t95.9 p69 bp128/76 r14 o2 sat100% on cmv set at vt500/r14/peep5/fi021.00. he was placed on fentanyl/midazolam gtt for sedation. a trauma series was negative, including a normal fast panel and a ct head/neck which were unremarkable for acute fracture. an ngt was placed though no output retrieved when placed to suction. he was initially hypothermic to 91f and bearhugger was placed with good effect. he received 3l ns in the ed and was transferred to the . . upon arrival to the , his initial vs were t96.4 bp120/73 rr14 p71 sat100% on fi0250%. his sedation was lightened and he was able to interact with staff and nod for questioning. he had a license identifying him as , and he was able to confirm that this is true. he is in no significant pain. limited history suggests that he was drinking alcohol last night. he had a bottle of clear liquid in his personal belongings, though he does not know was this is. . review of his previous records shows that he presented to the ed last for help with daily use of amphetamine. a psych note from that time revealed that he was then homeless with a history of polysubstance abuse, particularly with almost daily amphetamine use in addition to gamma-hydroxybutyric acid (ghb), though he had also experimented with cocaine, mdma, though no ivda. he was engaging in sexual activity to fund his drug habit. . he has a history of depression and anxiety, though had never been consistently treated. he a suicide attempt several years ago in which he overdosed on xanax, drank alcohol to excess, and took ghb. he had been hospitalized several times for his depression. past medical history: - depression - anxiety - history of suicide attempt - polysubstance abuse (particularly methamphetamine, ghb) - ventricular septal defect social history: occupation: works at drugs: clean x6months, polysubstance abuse in past with ghb and amphetamine tobacco: smokes ppdx5yrs alcohol: 5 drinks per setting x2 weekly other: lives with grandmother in family history: father died from cirrhosis, mother died from heroin overdose. physical exam: vitals: t95.9 p69 bp128/76 r14 o2 sat100% vent: cmv set at vt500/r14/peep5/fi021.00general: alert, oriented, no acute distress heent: pupils are 3mm and reactive bilaterally without nystagmus. mmm. ett in place. cervical collar is in place. neck: supple, cervical collar in place lungs: anterior exam clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, dp, pt pulses could not be palpated though were present with doppler u/s. several abrasions over ankles bilaterally. neuro: nodding y/n to questions. opens eyes and follows commands. 2+ dtr in . physical exam on day of discharge heent: pupils are 3mm and reactive bilaterally without nystagmus. mmm. ett in place. cervical collar is in place. neck: supple, cervical collar in place lungs: anterior exam clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, dp, pt pulses could not be palpated though were present with doppler u/s. several abrasions over ankles bilaterally. neuro: nodding y/n to questions. opens eyes and follows commands. 2+ dtr in . pertinent results: labs on admission: 08:38am blood glucose-123* urean-11 creat-1.0 na-146* k-4.0 cl-107 hco3-25 angap-18 08:38am blood wbc-9.3 rbc-4.99 hgb-16.0 hct-46.4 mcv-93 mch-32.0 mchc-34.4 rdw-14.1 plt ct-197 08:38am blood pt-12.1 ptt-27.0 inr(pt)-1.0 08:38am blood fibrino-295 08:38am blood lipase-19 08:38am blood calcium-8.3* phos-3.1 mg-2.0 05:40pm blood osmolal-287 08:45am urine color-yellow appear-clear sp -1.020 08:45am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-40 bilirub-neg urobiln-neg ph-5.0 leuks-neg 08:45am urine rbc-0 wbc-<1 bacteri-few yeast-none epi-0 08:38am blood alt-20 ast-23 alkphos-54 totbili-0.4 08:38am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 08:45am urine bnzodzp-neg barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg labs on discharge: 03:49am blood wbc-9.3 rbc-4.26* hgb-13.5* hct-38.6* mcv-90 mch-31.7 mchc-35.0 rdw-13.4 plt ct-196 03:49am blood glucose-111* urean-8 creat-0.9 na-139 k-3.7 cl-104 hco3-29 angap-10 03:49am blood calcium-8.3* phos-3.4 mg-1.8 brief hospital course: mr. is a 27yom with a history of polysubstance abuse, depression, and anxiety who was intubated in the field for management of altered mental status presumably due to a drug intoxication. he is transferred to the for further care. # respiratory depression: though we lack records of the patients status in the field, he was intubated for altered mental status and respiratory protection. the precipitant is unknown, though he has experimented with numerous cns depressants in the past that can suppress normal respiration (gbh, ketamine, benzodiazepines). patient was extubated successfully. after extubation, he endorsed taking etoh as well as gbh. upon discharge, he was alert, awake, oriented without focal deficits on neurological exam. # altered mental status: limited history is available from the patient initially. he has several scrapes on his lower extremity though ct head and neck show no obvious fracture or bleed. though initial urine and serum tox screens are negative, he has previously used substances that are not normally identified on routine screens such as gbh and ketamine. each of these drugs have relatively short half lives and should be clearing, which may explain his improving mental status. after extubation, patient endorsed drinking etoh and gbh. his initial prolonged qtc, likely related to hypothermia, resolved. # urinary ketosis: ketones to 40 noted on admission ua, unclear cause as he is not spilling glucose. does not appear malnourished. he was drinking alcohol last night which may have induced ketosis. # acidemia: ph noted to be acidemic at 7.32, though gas is confusing with normal bicarbonate and pc02. unclear precipitant though his clinical improvement is ultimately reassuring. # h/o polysubstance abuse: long history of drug use. patient was evaluated by sw after extubation. he ultimately decided to seek long term detox program and called hospital, which did not have a bed for him today. they asked the patient to call again on to inquire for a bed. at the same time, follow up appointment was set up for him to establish care with a new pcp so that he could be better followed mediaclly. # depression/anxiety: current status is unclear. however, he will need to have psychiatric evaluation in the outpatient setting to further address this issue. he currently does not have a regular psychiatrist but does see a therapist weekly per patient. upon discharge, patient reports feeling safe and is planning to go to his grandmother's house. he is planning to call hospital again on to set up follow up/long term de-tox program. medications on admission: none discharge medications: none discharge disposition: home discharge diagnosis: primary diagnosis: - intoxication secondary diagnoses: - polysubstance abuse - depression - anxiety discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , you were admitted after you were found to be unconscious in the area. you were intubated (breathing tube placed) by the ems workers in the ambulance. you were able to be extubated once you woke up in the icu. you then revealed that you had taken ghb as well alcohol. you decided that you would need more assitance with your drinking and using of substances, so you are planning to attend a more long term program for your current substance use issue. currently you feel safe and is planning to return to your family's home. you are advised to stop drinking and using illicit drugs, because persistent use of these substances can lead to death. please note that there is no change in your medications. it is very important for you to follow up with your mental health provider, psychiatrist, as well as establishing care with a primary care physician. followup instructions: thursday, at 1pm with dr. . , appointment tel: you said that you are calling your mental health provider at hospital at today to set up a follow up appointment so that you can be seen today or tomorrow for your recent admission to the hospital and to set get set up for the detox program. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: acidosis tobacco use disorder alcohol abuse, unspecified dysthymic disorder acute respiratory failure other specified disorders resulting from impaired renal function poisoning by other specified drugs and medicinal substances, undetermined whether accidentally or purposely inflicted poisoning by other and unspecified general anesthetics other specified drug dependence, unspecified counseling on substance use and abuse 

Answer: The patient is high likely exposed to