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: no known allergies / adverse drug reactions attending: chief complaint: acute hepatitis due to medication overdose (tylenol, prozac and ativan) major surgical or invasive procedure: fasciotomy fasciotomy closure skin graft history of present illness: 40 year old male with a history of svt, migraines, and depression who was transferred from an osh on for acute liver failure in the setting of a drug overdose (tylenol, prozac, and ativan). he reportedly had mild encephalopathy on presentation. please see initial transplant surgery admission note and hepatology consult note for further details. . while in the sicu he underwent left leg fasciotomy on due to concern for compartment syndrome with elevated cks (18,950 on admission, 820 today). lfts here peaked on admission at 3885/2910 (alt/ast) and are down to 687/58 today. nac was started on admission and stopped . he was also on sodium bicarb iv that was also stopped . he was extubated earlier today with presedex and is a&ox3 per the transferring team. he was started on vancomycin and ceftriaxone on and flagyl on for a question of aspiration pneumonia. bal showed 3+ pmns with 1+ gnrs but only a small number of mssa grew out. past medical history: 1. svt 2. migraines 3. depression 4. h/o right leg fracture social history: pt is currently in his second marriage. has 4 children, one from current marriage and one from previous marriage. works in car dealership. no tobacco, etoh, ivdu. suicide attempt stemmed from difficulties with second marriage. family history: no history of liver disease/liver cancer. history of bipolar disorder in sister and depression in mother. physical exam: vs - 98.3, 150/90, 89, 20, 96% on ra general - comfortable-appearing, nad heent - sclerae anicteric, op clear lungs - unlabored breathing, ? decreased bs at rll but otherwise cta heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding extremities - left lower leg with wound vac in place, otherwise wwp psych - patient currently denying any suicidal ideation and stating that he is coping well pertinent results: admission results: . 06:48pm blood wbc-12.2* rbc-4.23* hgb-12.9* hct-35.9* mcv-85 mch-30.6 mchc-36.0* rdw-13.5 plt ct-248 06:48pm blood pt-22.0* ptt-38.0* inr(pt)-2.1* 06:48pm blood glucose-124* urean-15 creat-0.8 na-137 k-3.4 cl-107 hco3-17* angap-16 06:48pm blood alt-3885* ast-2910* ck(cpk)-* alkphos-49 amylase-39 totbili-0.7 06:48pm blood ck-mb-43* mb indx-0.2 ctropnt-<0.01 06:48pm blood albumin-3.6 calcium-8.6 phos-0.8* mg-2.0 iron-50 06:48pm blood caltibc-217* ferritn-9302* trf-167* 08:18pm blood caltibc-208* ferritn-9008* trf-160* 08:18pm blood hbsag-negative hbsab-negative hbcab-negative hav ab-negative igm hbc-negative igm hav-negative 08:18pm blood smooth-negative 08:18pm blood ama-negative 08:18pm blood -negative 08:18pm blood cea-1.9 psa-0.6 afp-1.4 09:28pm blood type-art po2-62* pco2-26* ph-7.46* caltco2-19* base xs--2 09:28pm blood freeca-1.19 08:18pm blood ca -9 -4 08:18pm blood ceruloplasmin-18 08:18pm blood alpha-1-antitrypsin-114 . relevant imaging: . abdominal ultrasound (): 1. echogenic liver consistent with fatty infiltration. other forms of liver disease and more advanced liver disease including significant hepatic fibrosis/cirrhosis cannot be excluded on this study. 2. normal doppler ultrasound. . cxr (): lung volumes are lower than they have been since , left lower lobe remains consolidated, probably collapsed since it improved transiently on . mild pulmonary edema that was also present on has improved. right lower lobe is moderately consolidated, but this too has a variable appearance. overall the findings suggest continued recurrent and severe bibasilar atelectasis with borderline cardiac decompensation. heart size is only top normal. small bilateral pleural effusions are presumed. tip of the endotracheal tube is at the upper margin of the clavicles, no less than 6 cm above the carina and could be advanced 3 cm for more secured seating. a left subclavian line ends in the upper right atrium. no pneumothorax. . . . discharge results: . brief hospital course: 40 y/o male with h/o svt, migraines and depression s/p oversdose with tylenol, prozac and ativan who developed acute liver failure with mild encephalopathy which is currently resolving and patient without evidence of encephalopathy. . #. acute liver failure due to ingestion: patient overdosed on tylenol, prozac and ativan in setting of worsening depression. subsequently developed acute liver failure with ast and alt in 1000s and evidence of encephalopathy on presentation. patient was initially treated in the surgical icu given initial thought that patient would need liver transplant. patient was treated with n-acetylcysteine. ruq ultrasound early in course revealed echogenic liver with probable fatty infiltration. liver enzymes and liver function gradually recovered and the patient was transferred out to the medical floor with transplant surgery following until it was decided that the patient would not need transplant. liver enzymes and liver function tests were trended until normal. . #. aspiration pneumonia: patient had leukocytosis and fever early in his hospitalization while in the sicu and in the setting of altered mental status a cxr was ordered and demonstrated evidence of a right lower lobe infiltrate. a bal was completed while the patient was intubated and revealed methicillin-sensitive staph aureus. patient was treated initially with vancomycin, ceftriaxone (ctx) and flagyl. flagyl was tapered off but vancomycin and ctx were continued for a 7-day course. blood and urine cultures remained negative throughout hospitalization. . #. compartment syndrome and fasciotomy: patient developed cks to on admission with tense left lower leg. patient was taken to the or for fasciotomy. patient never developed acute renal failure but was on bicarbonate drip initially for renal protection. patient was taken back to the or after several days for wound closure and skin grafting. a wound vac was placed for 5 days and the patient remained on bed rest. the patient was continued on the vancomycin initially for the above pneumonnia but was continued on it during this period. after 5 days, the wound vac was removed and antibiotics were discontinued. patient received pain control throughout this period initially with oxycodone but then with oral dilaudid as oxycodone provided inadequate pain relief. . ** wound care instructions for grafted areas (to be performed daily until patient's appointment with plastic surgery on ): 1) place xeroform directly over grafted area. 2) fluff 4x4 gauze and place over xeroform. 3) wrap in kirlex. 4) place ace bandage on top of kirlex. ** . ** patient must wear afo boot on lef lower extremity at all times until his follow up appointment with plastic surgery on . patient has no activity restrictions. ** . #. substance overdose/psych: patient with history of anxiety and depression and presented after overdose with tylenol, prozac and ativan. psychiatry followed the patient throughout his hospitalization. patient had a 1:1 sitter throughout his stay on the medicine service. patient had been on venlafaxine at home and was being transitioned to prozac at the time of his overdose. per psychiatry recommendations, patient was started on duloxetine 30 mg daily and lorazepam 1 mg at night for sleep. patient's mood gradually improved during his stay on the medicine floor. patient was discharged from the medicine service to an inpatient psychiatry service. . #. svt: patient had repeated episodes of svt while in the sicu in the setting of toxic ingestions. patient transferred to medicine service on metoprolol tartrate 25 mg po bid. patient remained on this medication while initially on the medicine service and remained normotensive with no episodes of bradycardia or tachycardia. metoprolol was discontinued prior to discharge. medications on admission: 1. prozac 2. ativan 3. topamax discharge medications: 1. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 5. polyethylene glycol 3350 17 gram/dose powder sig: one (1) dose po daily (daily) as needed for constipation. 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 7. 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: acute liver failure overdose (tylenol, ativan, prozac) compartment syndrome (left lower extremity) s/p fasciotomy s/p skin graft discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. : . you were admitted to after an ingestion of prescribed medications. you initially had evidence of liver failure but your liver gradually recovered. you also had swelling in your left leg that required a surgical procedure called fasciotomy and then a skin grafting for closure. . you are being discharged from the medical service to an inpatient psychiatric service. please proceed directly to the inpatient psychiatric service. . the following changes have been made to your medications: . 1. stop taking prozac. 2. stop taking ativan as prescribed by your previous provider. have been prescribed 1 mg by mouth at night for sleep during this hospitalization. 3. stop taking topamax. 4. start taking duloxetine 30 mg by mouth once a day. 5. start taking senna 8.6 mg by mouth as needed for constipation. 6. start taking colace 100 mg by mouth for constipation. 7. start taking lorazepam 1 mg by mouth at night as needed for sleep. 8. start taking polyethylene glycol 17 g by mouth per day as needed for consipation. 9. start taking dilaudid 2-4 mg by mouth every three hours as needed for pain. 10. start taking zofran 4 mg by mouth every eight hours as needed for nausea. . plastic surgery has recommended the following wound care instructions for the area of skin grafting on your leg. 1) place xeroform directly over the grafted site. 2) place fluffed 4 x 4 gauze over the xeroform dressing. 3) wrap in kirlex dressing. 4) wrap ace bandage over kirlex dressing. . plastic surgery also recommended that you wear an afo boot on your left lower extremity until you follow up with dr. on . followup instructions: please keep all follow up appointments as below: . department: div of plastic surgery when: tuesday at 11:45 am with: , md building: lm bldg () campus: west best parking: garage please obtain a referral from your pcp to see dr. for this appointment. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances fasciotomy other skin graft to other sites closed [endoscopic] biopsy of bronchus attachment of pedicle or flap graft to other sites closure of skin and subcutaneous tissue of other sites diagnoses: tobacco use disorder acute and subacute necrosis of liver suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents poisoning by benzodiazepine-based tranquilizers other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site awaiting organ transplant status hepatic encephalopathy poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics migraine, unspecified, without mention of intractable migraine without mention of status migrainosus traumatic compartment syndrome of lower extremity hepatitis, unspecified other chronic nonalcoholic liver disease major depressive affective disorder, single episode, severe, without mention of psychotic behavior poisoning by other antidepressants late effect of fracture of lower extremities late effects of unspecified accident other acquired deformity of other parts of limb 

Answer: The patient is high likely exposed to