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: reglan / prochlorperazine attending: chief complaint: inability sleep, racing thoughts, visual hallucinations, paranoia major surgical or invasive procedure: none history of present illness: the pt is a 31 yo f with a pmh of bipolar disorder brought in by family for paranoia and inability to sleep for 7 days. pt is unable to give a reliable history but reports that she has not slept for the past 7 nights and that she believed that someone was putting up security cameras in her home. the patient confronted her parents about this and was told that there was no one in the house. she also reports that she has not been eating well over the past week. she denies feeling like her thoughts are racing, denies increased energy, denies impulsive behavior. per pt's sister and cousin, pt has been unable to care for herself for a number of years. she is currently living with her parents but her parents left for vacation 1 wk ago and since that time, pt has not slept or attended to adls. denies si/hi. . in the ed, initial vs were: t98.9 hr96 bp113/73 rr18 o299ra she was evaluated by psychiatry and was sect 12. she was found to have an elevated tylenol level to 38.5 as well as urine tox postive for benzos and opiates. she was started on nac for elevated tylenol level. prior to admit to floor, the patient became tachycardic, dry and flushed and was given valium. she is being admitted to the icu for hourly ciwa scales. past medical history: chronic bronchitis ? thrush h/o kidney stones bipolar disorder - her family reports that she has a long hx of severe depression and bipolar d/o, and also was abusing prescription medications for many yrs. they report that while she was living in , she had multiple er visits with various psychiatric complaints, but was never admitted. in , she attended a 30 day detox/rehab program for her prescription medication abuse. social history: pt was born and raised in area. she has 1 sister. been living with her parents. per pt's family, pt has not been able to support herself for a number of yrs. family history: biological father with etoh abuse and other "psychiatric issues" - details unclear. cousin with anxiety physical exam: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi 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 ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 02:25pm wbc-7.9 rbc-3.86* hgb-12.6 hct-35.9* mcv-93 mch-32.8* mchc-35.2* rdw-13.1 02:25pm neuts-61.3 lymphs-33.9 monos-3.3 eos-0.9 basos-0.5 02:25pm plt count-531* 02:25pm glucose-113* urea n-19 creat-0.6 sodium-139 potassium-3.6 chloride-104 total co2-21* anion gap-18 02:25pm alt(sgpt)-14 ast(sgot)-21 ld(ldh)-203 alk phos-60 tot bili-0.4 02:25pm asa-neg ethanol-neg acetmnphn-38.5* bnzodzpn-neg barbitrt-neg tricyclic-neg . 05:50am blood wbc-5.9 rbc-3.44* hgb-11.0* hct-31.7* mcv-92 mch-32.1* mchc-34.8 rdw-13.8 plt ct-445* 05:50am blood plt ct-445* 05:50am blood glucose-95 urean-7 na-143 k-3.7 cl-109* hco3-25 angap-13 04:07am blood alt-12 ast-14 alkphos-48 totbili-0.3 03:15am blood vitb12-825 03:15am blood tsh-1.3 11:58pm blood acetmnp-neg 02:25pm blood asa-neg ethanol-neg acetmnp-38.5* bnzodzp-neg barbitr-neg tricycl-neg . ct head - there is no acute intracranial hemorrhage, mass effect, shift of normally midline structures, or hydrocephalus. the ventricles and extra-axial csf spaces are normal. no osseous lytic or sclerotic lesions are noted. the visualized portions of the paranasal sinuses are clear. the soft tissues of the scalp are unremarkable. impression: 1. no acute intracranial hemorrhage. brief hospital course: 31 yo f with a pmh of bipolar disorder brought in by family for paranoia and inability to sleep for 7 days. # medication abuse - patient had one week episode of insomnia and abuse of her ritalin and vicodin which she reports abusing through inhalation nasally. she was admitted into the icu for withdrawal and tachycardia. lexapro and ritalin were held per psychiatry consult recs. she has been on a ciwa scale and has received multiple doses of valium per ciwa scale and haldol prn for agitation. psychiatry has been following and patient has been on section 12 along with 1:1 sitter for concern of si. patient stabilized in the icu after 48 hours and she was transferred to the psychiatry inpatient unit. her lexapro was restarted per psych recs as it was felt her paranoia was related to medication abuse and not a primary mood/bipolar disorder. she underwent a head ct which was negative for acute process. # sinus tachycardia - patient developed tachycardic episode with flushing in the ed and concern was for serotinergic vs anticholinergic side effects. she had no further evidence of these side effects, ck normal, no additional autonomic symptoms. tachycardia has improved since admission, tachycardia thought to be secondary to withdrawal and agitation. # chronic tylenol overdose - pt reported long standing tylenol ingestion (with vicodin), per tox recs was given nac loading dose in er for level of 38. she has now completed her nac course for concern of overdose. lfts have been stable. would recommend repeat lfts in 1 week for further monitoring. pt should not be given tylenol. . # lower extremity pain/numbness - findings concerning for neuropathy. rpr/tsh/b12 wnl. pt should undergo outpatient workup following discharge from psychiatry. she was given a lidocaine patch for back pain, to avoid additional narcotics/tylenol/etc. . # anemia - the patient should undergo an outpatient workup following discharge from psychiatry. normocytic. b12 normal. . the patient is being transferred to inpatient psychiatry for further management of her polyspharmacy abuse. medications on admission: lexapro 30mg po daily ritalin 20mg po tid ibuprofen 800mg prn vicodin prn discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 2. diazepam 10 mg tablet sig: one (1) tablet po q2h (every 2 hours) as needed for ciwa>10: per ciwa scale. 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical qday (): apply to affected area prn. 6. escitalopram 10 mg tablet sig: three (3) tablet po daily (daily). 7. haloperidol 0.5 mg tablet sig: two (2) tablet po bid (2 times a day) as needed. discharge disposition: extended care discharge diagnosis: medication abuse and withdrawal discharge condition: stable discharge instructions: you were admitted into the hospital for medication abuse and withdrawal. your withdrawal symptoms improved while you were in the icu. please refrain from abusing your medication as it is very harmful to your health. you have been transferred to the inpatient psychiatry service here and . please follow instructions per the psychiatry team. followup instructions: please follow up with your primary care physician 1-2 weeks from discharge. please follow up with psychiatry as recommended by the psychiatry team. md procedure: injection or infusion of other therapeutic or prophylactic substance other psychiatric drug therapy diagnoses: anemia, unspecified family history of psychiatric condition poisoning by aromatic analgesics, not elsewhere classified drug withdrawal tachycardia, unspecified combinations of opioid type drug with any other drug dependence, continuous poisoning by tranquilizers and other psychotropic agents, undetermined whether accidentally or purposely inflicted poisoning by analgesics, antipyretics, and antirheumatics, undetermined whether accidentally or purposely inflicted polyneuropathy due to drugs bipolar i disorder, most recent episode (or current) manic, severe, specified as with psychotic behavior alcoholism in family 

Answer: The patient is high likely exposed to