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: overdose on klonipin and celexa major surgical or invasive procedure: intubation history of present illness: 40 y/o f with citalopram and clonazepam od just prior to 11pm on , quantity unknown. she was found by a friend who spoke with her and she mentioned she took the medications. emts were called and enroute to , she became increasingly lethargic. per report at osh she was intubated for mental status change and airway protection. initially started (prophylactically) on bicarb ggt and she was transferred to . . at , initial vitals hr 90, bp 100/63, rr 17 o2 100% on 50%fio2. per report ecg with initial qtc of 410 now 475., qrs 82 initially, now 86 rate= 95. toxicology was consulted and recommended d/c'ing bicarb drip. patient fighting the vent in the er given 8 mg iv ativan and started on versed gtt. . at time of transfer to the , patient very agitated, fighting the vent, got another 10 mg of versed (on 6.5mg iv versed gtt). past medical history: ? depression/anxiety h/o ovarian cysts social history: single, lives in an apartment. +tobacco, etoh. no illicits family history: fh of depression (gf, gm, parents) denies fh of cad or pulmonary problems. mother with ca at 65. physical exam: tmax: 37.3 ??????c (99.2 ??????f) tcurrent: 37.3 ??????c (99.2 ??????f) hr: 115 (115 - 115) bpm bp: 102/59(69) {102/59(69) - 102/59(69)} mmhg rr: 22 (22 - 22) insp/min spo2: 98% height: 60 inch ventilator mode: cpap/psv vt (spontaneous): 475 (475 - 475) ml rr (spontaneous): 16 peep: 5 cmh2o fio2: 50% pip: 11 cmh2o spo2: 98% abg: 7.40/46/57/26/2 ve: 12 l/min pao2 / fio2: 114 physical examination general appearance: well nourished eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic lymphatic: cervical wnl cardiovascular: (s1: normal), (s2: normal), no(t) s3, no(t) s4, (murmur: no(t) systolic, no(t) diastolic) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: clear : , no(t) crackles : , no(t) wheezes : ) extremities: right: absent, left: absent skin: not assessed neurologic: responds to: not assessed, movement: not assessed, tone: not assessed pertinent results: 02:26pm wbc-14.9*# rbc-3.42* hgb-11.6* hct-34.1* mcv-100* mch-33.9* mchc-34.0 rdw-12.5 02:26pm plt count-298 04:57am type-art po2-57* pco2-46* ph-7.40 total co2-30 base xs-2 04:30am glucose-92 urea n-8 creat-0.5 sodium-145 potassium-3.4 chloride-110* total co2-26 anion gap-12 04:30am vit b12-223* folate-7.2 04:30am osmolal-334* 04:30am wbc-5.9 rbc-3.44* hgb-11.3* hct-32.3* mcv-94 mch-32.8* mchc-34.9 rdw-13.0 04:30am asa-neg ethanol-150* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 04:30am plt count-325 . other labs: differential-neuts:57.7 %, lymph:35.9 %, mono:5.0 %, eos:0.7 % fluid analysis / other labs: labs: etoh 267, salicylate 6.3 (2.8-20 range), tylenol neg. chemistries, including magnesium, wnl (mag = 2.4 which is upper limit normal at -n). imaging: cxr - prelim without obvious infiltrate brief hospital course: 40 yof with history of ?depression went to osh after unknown quantity of klonipin and celexa overdose. . # respiratory failure - intubated for airway protection. cxr without obvious infiltrate. switched to pressure support in the morning and was extubated without any complications. given empiric treatment for ? aspiration but no obvious infiltrate was visualized on cxr. the antibiotics were stopped on arrival to the floor. she has been afebrile with no oxygen requirement or evidence of respiratory distress since that time. . # drug overdose - celexa and klonipin overdose by history. also etoh intoxication. toxicology consulted in er. initially on bicarb gtt at osh, which was discontinued in er as celexa and klonipin not believed to widen qrs. serial ecg showed stable qtc around 450msec. . # depression - evaluated by psych, who recommended admission to psych facility once medically cleared. . # anemia - hct 32 here, outside hosp hct was 40. unclear etiology for hct drop. no obvious bleeding. hct remaiend stable there after. this is a macrocytic anemia likely secondary to etoh abuse. we recommend folate and thiamine supplementation in the future. #hypocalcemia: corrected to normal with her current albumin level. had no symptoms of hypocalcemia. patient was called out to the floor and was transferred to psych facility the following day. medications on admission: celexa, klonipin. discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 2. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed). 3. folate 1mg po daily 4. thiamine 100mg po daily discharge disposition: extended care facility: 4 discharge diagnosis: celexa overdose respiratory failure depression hypocalcemia discharge condition: stable discharge instructions: you were admitted with a medicine overdose that required intubation. you will be discharged to a psychiatric facility to evaluate and treat your suicidal attempt. followup instructions: you will need to follow up with your pcp and outpatient psychiatrist upon discharge from the psychiatric facility. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: hypocalcemia depressive disorder, not elsewhere classified suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents poisoning by benzodiazepine-based tranquilizers acute respiratory failure unspecified deficiency anemia 

Answer: The patient is high likely exposed to