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 / trazodone attending: chief complaint: swallowed toothbrush major surgical or invasive procedure: egd history of present illness: is a 37 yo female with a long-standing history of an eating disorder, noted as both anorexia and bulemia by pcp's notes who presents after accidentally swallowing a toothbrush. the patient reports that she had began eating normally after not eating for several days and then tried to make her self vomit. she does not have a gag reflex any longer so was trying to induce vomiting by gagging herself with a toothbrush when she accidentally swallowed it. the patient reports pain in her mid-chest since swallowing the toothbrush in severity at it's worst and notes that she feels a tightness in her chest. denies trouble breathing or swallowing secretions. she originally presented to osh ed where lateral x-ray shows e/o toothbrush in esophagus. . in the ed, initial vs were: 99.2 82 137/56 11 100% on ra. patient was given zofran 4mg iv x1 and morphine 4 mg ivx1. gi was consulted and they plan to do egd in morning in icu or sooner if needed. she has been handling secretions without difficulty and hemodynamically stable in ed. . review of systems: (+) per hpi and for worsening anorexia symptoms, epigastric abdominal pain and nausea. tearful because she overheard her weight. (-) denies fever, chills, headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: past medical history: -hypothyroidism -ibs -headaches -history of eating disorder with purging behavior (anorexia nervosa & bulimia) -h/o dehydration, orthostasis, and electrolyte abnormalities (hypokalemia) from eating disorder psychiatric history: -diagnoses: per omr, patient has bpd; patient reports mdd, eating disorder nos, gad -prior hospitalizations: several, most recently at bay ridge in s/p sib -outpatient treaters: psychiatrist nurse in -prior sa: several by od, most recent 3 years ago -si/hi/assaultive behavior: endorses past sa, sib social history: -denies etoh, illicit drugs -ex-smoker -lives in a supportive residence -she is unemployed and is on disability; worked previously as a nanny -both of her parents passed away from ca. family history: non-contributory; parents deceased. physical exam: general: alert, oriented, crying intermittently but no acute distress. heent: sclera anicteric, perrla, eomi mmm, oropharynx clear (no foreign body visible in oropharynx) 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, tender in epigastrium, 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: 01:25am blood wbc-9.2 rbc-3.34* hgb-9.9* hct-28.4* mcv-85 mch-29.6 mchc-34.7 rdw-15.0 plt ct-221 01:25am blood glucose-119* urean-13 creat-0.9 na-145 k-3.9 cl-114* hco3-19* angap-16 egd: impression: (foreign body removal) toothbrush was foun with most proximal part 20cm from incisors. otherwise normal egd to mid esophagus brief hospital course: 37 yo female with a long-standing history of an eating disorder, noted as both anorexia and bulemia by pcp's notes who presented after accidentally swallowing a toothbrush. . # foreign object ingestion - patient transferred to for monitoring of accidental ingestion of toothbrush. patient complained of moderate epigastric discomfort, relieved with morphine. patient was stable, without vomiting, and reported being able to swallow saliva without issue. the toothbrush was removed endoscopically without complications, and the patient was stable. slight erythema noted in upper esophagus; she will only take fluids for the next 24 hours. she is stable and is being discharged to her home. . #depression - during time in , patient was intermittently tearful, with depressed affect. po psychiatric medications were initially held pending removal of foreign object from esophagus. upon discharge, she will continue these meds. medications on admission: # citalopram 40 mg tablet by mouth once a day # clonazepam 1 mg tablet by mouth at bedtime and 0.5 mg po prn anxiety # folic acid 1 mg by mouth once a day # lamotrigine 100 mg tablet 0.5 (one half) tablet(s) by mouth in am and 1 in pm # levothyroxine 25 mcg tablet by mouth once a day except on sunday # olanzapine 5 mg tablet by mouth at bedtime # omeprazole 20 mg capsule po bid # topiramate 100 mg tablet 1.5 tablet(s) by mouth at bedtime # docusate sodium 100 mg capsule po bid # ferrous gluconate 325 mg tablet by mouth once a day # multivitamin 1 tablet(s) by mouth once a day # simethicone 80 mg tablet, chewable 2 tablet(s) by mouth once a day as needed for gas discharge medications: 1. citalopram 40 mg tablet sig: one (1) tablet po once a day. 2. clonazepam 1 mg tablet sig: one (1) tablet po at bedtime. 3. clonazepam 0.5 mg tablet sig: one (1) tablet po once as needed for anxiety. 4. folic acid 1 mg tablet sig: one (1) tablet po once a day. 5. lamotrigine 100 mg tablet sig: as directed tablet po as directed: half a tablet in the am, and half a tablet in the pm. 6. levothyroxine 25 mcg tablet sig: one (1) tablet po every day except sunday. 7. levothyroxine 25 mcg tablet sig: 0.5 tablet po once a day: every sunday. 8. olanzapine 5 mg tablet sig: one (1) tablet po at bedtime. 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 10. topiramate 100 mg tablet sig: 1.5 tablets po at bedtime. 11. colace 100 mg capsule sig: one (1) capsule po twice a day. 12. ferrous gluconate 325 mg (36 mg iron) tablet sig: one (1) tablet po once a day. 13. multivitamin tablet sig: one (1) tablet po once a day. tablet(s) 14. simethicone 80 mg tablet, chewable sig: two (2) tablet, chewable po once a day as needed for gas. discharge disposition: home discharge diagnosis: swallowed toothbrush - removed by egd discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted because you swallowed a toothbrush. an upper endoscopy was performed, and the toothbrush was removed. you were observed and are stable for discharge home. . we did not make any changes to your medications. . please follow up with your pcp (appointment listed below). . it is harmful to make yourself vomit; if you feel unwell please contact your pcp or go to the emergency room in case of an emergency. followup instructions: provider: , md phone: date/time: 12:00 md procedure: other endoscopy of small intestine removal of intraluminal foreign body from esophagus without incision diagnoses: anemia, unspecified unspecified acquired hypothyroidism personal history of tobacco use home accidents foreign body accidentally entering other orifice irritable bowel syndrome foreign body in esophagus generalized anxiety disorder anorexia nervosa bulimia nervosa 

Answer: The patient is high likely exposed to