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: confusion major surgical or invasive procedure: intubation with mechanical ventilation, now extubated history of present illness: 18 yo m who was to ed by friends when confused and . per his friends the patient was completely normal earlier in the day (he is visiting from ). they happened upon him tonight and he was alternating between confusion (laughing inappropriately) and combative. friends reported that had smoked mj before but unknown if any other substances. also found to have large hematoma over left frontal skull. no witnessed fall. patient unable to give history. . patient presented to ed afebrile 98.2, tachy 130's, hypertensive > 180's, blood sugar 149, oxygenating well on room air. patient intubated to allow for head imaging. head ct neg for bleed. once intubated, on propafol, hr to 90's, sbp to 120's. discussed with tox who were concerned for anticholinergic syndrome, pcp, , or dextromethorphan. ekg with normal intervals. past medical history: none social history: student at college of art. lives in the dorms. was smoking marijuana just prior to admission, but denies other illicit drug use. family history: nc physical exam: vs - 97.0 73 128/71 resp - ac 500/18/50%/5 sat 100% gen - intubated sedated skin - no rashes, no erythema, no diaphoresis even in axilla heent - op clear, neck - in collar cor - rrr no m/r/g chest - ctab abd - soft, non-distended ext - no edema neuro - paralyzed pertinent results: 07:36pm fibrinoge-265 07:36pm pt-12.9 ptt-23.5 inr(pt)-1.1 07:36pm plt count-349 07:36pm wbc-13.7* rbc-4.61 hgb-15.1 hct-42.6 mcv-92 mch-32.6* mchc-35.3* rdw-13.5 07:36pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:36pm tsh-1.1 07:36pm albumin-4.9* calcium-9.6 phosphate-3.9 magnesium-2.2 07:36pm ck-mb-3 ctropnt-<0.01 07:36pm lipase-25 07:36pm alt(sgpt)-14 ast(sgot)-24 ld(ldh)-259* ck(cpk)-229* alk phos-75 amylase-57 tot bili-0.3 07:36pm estgfr-using this 07:36pm glucose-160* urea n-19 creat-1.1 sodium-144 potassium-3.8 chloride-104 total co2-22 anion gap-22* 07:48pm po2-55* pco2-45 ph-7.34* total co2-25 base xs--1 comments-green top 09:49pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 09:49pm urine hours-random . - ct c-spine **preliminary report** endotracheal tube and nasogastric tubes are viewed respectively. there is no malalignment or acute fracture of the cervical spine. there is no prevertebral soft tissue swelling. please note, ct is unable to provide intrathecal detail comparable to mri. the visualized portions of the lung apices are unremarkable. impression: no evidence of acute fracture or malalignment of the cervical spine . - ct head **preliminary report** findings: there is no evidence of acute intracranial hemorrhage, shift of normally midline structures, hydrocephalus, major or minor vascular territorial infarction. the density values of the brain parenchyma are within normal limits. there is a large subcutaneous hematoma over the left frontal area measuring at least 9 cm in diameter with areas of hyperdensity suggestive of ongoing bleeding. no underlying skull fracture or foreign body is detected. the visualized portions of the paranasal sinuses and the mastoid air cells are unremarkable. impression: 1. no evidence of acute intracranial pathology, including no sign of intracranial hemorrhage. 2. large left frontal subcutaneous hematoma with foci of hyperdensity reflective of ongoing bleeding. no underlying skull fracture. . - pcxr: findings: an endotracheal tube is present with the distal tip approximately 3.7 cm from the carina. a nasogastric tube is evident coiled within the gastric body. the lung volumes are low. the lungs otherwise are clear. the mediastinum is unremarkable. the cardiac silhouette is within normal limits accounting for patient and technical factors. no pleural effusion or pneumothorax is evident. impression: endotracheal tube in satisfactory position. low lung volumes, but otherwise, lungs are clear. brief hospital course: 18 yo m who was brought to ed by friends when confused and . . # altered mental status: 18 y.o. patient with no past medical history brought in by friends to . reportedly, he smoked marijuana and had a panic attack, causing him to run his head into a wall. afterward he was intermittently confused and , ambulance called. electrolytes were wnl. tox screen negative for both drugs of abuse and asa, tricyc, and tylenol. he was intubated and sedated in order to obtain head and neck cts. no fractures noted of the skull or c-spine. physicial exam and ct head revealed a large subcutaneous hematoma, but no parenchemal or other internal bleeding by imaging. toxicology was consulted and felt possible agents included pcp, , or dextromethorphan. his mental status improved quickly and he was extubated within 12 hours. most likely his mental status changes were secondary to head trauma given hematoma. his repeat neuro exam was normal. the patient was scheduled on a flight home to on the day of discharge. it was felt he was safe to fly, and was instructed to follow up with his primary care physician (dr. in days to be sure he did not have concussive symptoms. the patient's sister, , was contact and updated. a message was left for the patient's pcp. . # leukocytosis: no localizing sign of infection. differential normal. level was trending down, and likely to trauma/acute inflammation. . # fen - npo while intubated, then regular diet. electrolytes wnl. . # ppx - hep sc, ppi . full code medications on admission: none discharge medications: none discharge disposition: home discharge diagnosis: 1. respiratory failure secondary to intoxication 2. marijuana intoxication 3. altered mental status 4. scalp hematoma 5. hypertension -- resolved discharge condition: stable, neurologic exam normal discharge instructions: you were admitted with altered mental status, now improved back to your baseline. . please follow up with your doctor in days. . call your doctor or return to the emergency room immediately if you have confusion, severe or worsening head pain, blurred vision, or any other symptom that concerns you. followup instructions: call your doctor when you get home; set up a follow up appointment in days to be sure you do not develop symptoms of a concussion. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: accidents occurring in other specified places accidental poisoning by psychodysleptics [hallucinogens] accidents occurring in unspecified place poisoning by psychodysleptics (hallucinogens) contusion of face, scalp, and neck except eye(s) panic disorder without agoraphobia other accident caused by striking against or being struck accidentally by objects or persons 

Answer: The patient is high likely exposed to