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: patient recorded as having no known allergies to drugs attending: chief complaint: depakote overdose major surgical or invasive procedure: intubation hemodialysis femoral and jugular central line placements history of present illness: the patient is a 49 year old female with a reported history of alcohol abuse and bipolar disorder who presented to an osh following an overdose of depakote. the patinet is currently intubated and sedated, so information is gained from the medical record and verbal report. the patient has a longstanding psychiatric history and alcoholism, with multiple admissions for psychiatric care and alcohol detoxification. the patient reportedly took 40 pills of 250mg depakote tablets (short activing formulation at around 9am. she was brought to by a friend at 1030am. at that time, she communicated that overdose was an intential suicide attempt, saying she wanted to die. on arrival, her t 98.4, 82, 18, 124/78, 100%. cxr/labs/ekg were checked. vpa levels were 29, etoh levels were mildly elevated, + cannabinoids, lfts were normal, and ammonia level was 78. she was given a dose of activated charcol. over her 3 hour stay in the ed, she developed progressive confusion to the point of somlanence. she was reported to vomit. she was subsequently intubated for airway protection and transfered to the ed for further manegment. on arrival to our ed, vitals were hr 77, 124/74, 16, 100% on the vent. labs showed a rising lactate to 5.3 with an ag of 24. the ed was contact that her second vpa level at the osh was 800. toxicology was consulted, who recommended 1g of l-carnitine. an additonal dose of activated charcol was given. the patient was admitted to the micu for futher manegment. past medical history: bipolar disorder alcohol abuse depression social history: per report, death of husband other 3 years ago. former alcoholic in aa w/ 6 year sobrity, now relapsed on . + marijuna + tobacco. family history: non-contributory. physical exam: exam at time of transfer from icu: vitals - t: 97.8 bp:136/71 hr:67 rr:13 02 sat: 98% on ra general: sleeping but arousable, affect flat heent: peerl, eomi cardiac: rrr, no m/r/g lung: ctab on anterior exam abdomen: soft, nt, nd, bs+ ext: no edema, no calf pain neuro: cn 2-12 grossly intact, gait deferred pertinent results: labs on admission: 03:30pm blood wbc-8.6 rbc-3.99* hgb-12.3 hct-36.6 mcv-92 mch-30.9 mchc-33.7 rdw-13.6 plt ct-354 08:00am blood wbc-6.4 rbc-3.07* hgb-9.5* hct-28.1* mcv-92 mch-31.0 mchc-33.8 rdw-13.3 plt ct-215 08:27pm blood pt-13.6* ptt-21.3* inr(pt)-1.2* 03:30pm blood glucose-106* urean-9 creat-0.8 na-143 k-3.5 cl-102 hco3-17* angap-28* 08:00am blood glucose-104* urean-5* creat-0.6 na-137 k-3.9 cl-103 hco3-28 angap-10 03:30pm blood alt-19 ast-36 alkphos-36 totbili-0.2 08:00am blood alt-15 ast-30 alkphos-35 totbili-0.8 02:49am blood calcium-8.1* phos-3.2# mg-3.8* 11:41pm blood triglyc-190* 03:41pm blood ammonia-102* 03:30pm blood valproa-1186* 03:30pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg labs on discharge: 10:33am blood wbc-6.0 rbc-3.34* hgb-10.5* hct-30.5* mcv-91 mch-31.5 mchc-34.5 rdw-13.3 plt ct-255 10:33am blood plt ct-255 10:33am blood glucose-85 urean-10 creat-0.6 na-140 k-3.9 cl-104 hco3-28 angap-12 other key labs: 08:00am blood alt-15 ast-30 alkphos-35 totbili-0.8 08:00am blood lipase-23 10:33am blood calcium-9.5 phos-4.6* mg-1.9 iron-pnd 10:33am blood valproa-9* 09:10am blood alt-14 ast-32 ck(cpk)-249* totbili-0.4 03:30pm blood lipase-48 08:27pm blood lipase-44 11:41pm blood lipase-50 02:49am blood lipase-42 09:10am blood lipase-32 04:27pm blood lipase-22 08:00am blood lipase-23 11:41pm blood triglyc-190* 03:41pm blood ammonia-102* 11:34pm blood ammonia-22 02:49am blood ammonia-53 05:10am blood ammonia-57 09:10am blood ammonia-25 03:30pm blood valproa-1186* 08:27pm blood valproa-339* 11:34pm blood valproa-110* 02:49am blood valproa-96 05:10am blood valproa-95 09:10am blood valproa-77 04:27pm blood valproa-60 08:00am blood valproa-39* 10:33am blood valproa-9* 03:35pm blood type- ph-7.25* comment-green-top 04:24pm blood type-art rates-16/ tidal v-450 peep-5 fio2-100 po2-467* pco2-42 ph-7.32* caltco2-23 base xs--4 aado2-214 req o2-43 -assist/con intubat-intubated 02:30am blood type-art temp-38.2 tidal v-450 peep-5 fio2-40 po2-183* pco2-34* ph-7.54* caltco2-30 base xs-7 intubat-intubated vent-controlled chest (portable ap) study date of 3:32 pm supine ap view of the chest: evaluation is limited by various radiopaque objects. within this limitation, the endotracheal tube terminates 5 cm from the carina at the upper margin of the clavicles. an ng tube is also noted in situ. although the last side port is not clearly identified, the tip is in the mid-body of the stomach. lungs are clear. there is no appreciable pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette, hilar contours, and pulmonary vasculature are unremarkable. impression: 1) et tube terminating 5 cm from the carina at the superior margin of the medial clavicles. 2) ng tube in situ with distal end projecting over the left upper quadrant. ekg: sinus rhythm. short p-r interval. st-t wave abnormalities. since the previous tracing there is less artifact. the qtc interval remains mildly prolonged and probably unchanged. brief hospital course: ms. is a 49f with a history of substance abuse and bipolar disorder who was admitted after having overdosed on valproic acid. # respiratory: she required intubation at an outside hospital and was transferred on a ventilator. she was able to be rapidly extubated. her respiratory status remained stable on room air across the rest of her hospitalization. # valproic acid overdose: she was evaluated by renal and toxicology teams and underwent dialysis for removal of vpa. she also received l-carnitine for hepatic protection. she was able to be rapidly extubated. her vpa levels were trended and returned to . she did not have any evidence of liver dysfunction. # alcohol withdrawal: she was observed on a ciwa scale but never had any evidence of withdrawal, with ciwa scores less than 10 across her hospitalization. she was given valium and ativan primarily for anxiety. she was evaluated by psychiatry and sectioned for safety. she was started on thiamine and folic acid for vitamin supplementation. # depression: she readily admitted to her overdose being an attempt at suicide and expressed considerable remorse in this action. she was evaluated by psychiatry and sectioned for safety. on exam she stated that at present she was not planning to hurt herself. of note, at the recommendation of psychiatry she was not restarted on either her valporoate or her zoloft. # dispo: she was medically cleared for discharge and discharged for inpatient psychiatric treatment at . medications on admission: depakote 250mg zoloft discharge medications: 1. multivitamin tablet sig: one (1) tablet po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 4. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea. discharge disposition: extended care discharge diagnosis: depakote overdose suicide attempt bipolar disorder substance abuse discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you were admitted for depakote overdose. you were admitted to the icu and required emergent dialysis to remove the medication from your blood. you are being discharged to a psychiatry facility to provide treatment for substance abuse and psychiatric disorders. we have made changes to your medication. the facility will follow your discharge list. followup instructions: once you are discharged from your psychiatry facility please follow-up with your psychiatrist and primary care doctor. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours hemodialysis venous catheterization for renal dialysis diagnoses: acidosis anemia, unspecified tobacco use disorder suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents anxiety state, unspecified other and unspecified alcohol dependence, continuous poisoning by other and unspecified anticonvulsants suicide and self-inflicted poisoning by other specified drugs and medicinal substances bipolar i disorder, most recent episode (or current) depressed, unspecified poisoning by other antidepressants disorders of urea cycle metabolism 

Answer: The patient is high likely exposed to