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: ultram attending: chief complaint: suicide attempt major surgical or invasive procedure: none. history of present illness: 39f with h/o polysubstance abuse was found at home by sisters with after suicide attempt with overdose of with unknown amt of tylenol and etoh at approx 1pm. initially taken to er, per report pt walked to the ambulance. level at 4pm was 130, 5 pm level 160. initial level 130 at 4pm and repeat going upto 160, 5pm. pt refused ng tube, belligerant and agitated. intubated and sedated, ng tube placed, given 50mg charcoal, 9200mg nac loading dose. transferred to for further care. . in the er given another dose of 4200 mg nac. ecg with sinus tachy. . per sister has been in good health recently aside from decreased mood, denies recent fevers, chills. per, sister has been having problems with boyfriend recently, pt left suicide note and left phone calls on sister's voice mail regarding overdose. past medical history: h/o esophageal atresia as child requiring surgery at birth social history: drinks 1/4 vodka daily for several years worse over the past yrs. +crack/coccaine, pack smoking for >2 yrs. . family history: mother with anxiety disorder. physical exam: t 98.6 p 100, bp 133/100, rr 18 o2 sat 100% on ra general: intubated, sedated moves all extremities. heent: perrl, eomi without nystagmus, no scleral icterus noted, mmm. neck: supple pulmonary: lungs cta bilaterally without r/r/w cardiac: tachy, rr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp and pt pulses b/l. neurologic: intubated. moves all extremities. pertinent results: -admission: on discharge: \ 8.4 / \13.9/ 3.1 ----- 202 --------------> 6.0 ---- 302 / 24.2\ /40.3\ n:63.2 l:32.0 m:4.2 e:0.5 bas:0.2 macrocy: 1+ . pt: 16.2 ptt: 40.9 inr: 1.5 . ua negative . urine tox: urine benzos pos urine barbs, opiates, cocaine, amphet, mthdne negative . serum tox: ethanol 135, acetominophen 106.7, aspirin, tricyclics, benzos, barbiturates negative . ast 25 alt 15 alk phos 43 t bili 0.2 amylase 39 . vitamin b12 481 . folate 12.1 . tsh 3.9 . cxr 12/44/06: endotracheal tube and nasogastric tube in standard positions. no definite evidence for infiltrate. brief hospital course: a/p: 39 yo woman without significant pmh s/p tylenol overdose as suicide attempt. . 1 tylenol overdose: tylenol level at osh on presentation (about 4 hours after ingestion) was 160. this level placed her close to the line of possible hepatotoxicity according to the acetaminophen nomogram. she patient needed a total 72-hour oral course of nac (140 mg/kg loading dose, then 17 doses of 70 mg/kg q4h; total dose 1330 mg/kg). she weighs 60kg. she received a loading dose of 9200mg po at osh. then received 4900mg po x1 in ed here. she also received 4200mg po x3 doses in micu, as well as 3200mg as iv infusion. on the general medicine floor she received 12 additional doses. her lft's were normal and did not change at all during her hospital course. her inr/pt/ptt did not change during her hospitalization. . 2 suicide attempt: this overdose was an apparent suicide attempt though she denied si and hi during her hospital course her. she was seen and evaluated by psychiatry here who feel that she requires inpatient psychiatric treatment on discharge. rpr nr, tsh wnl, b12/folate. she was maintained on 1:1 sitter precaution while in house. . 3 etoh abuse: she has a h/o daily etoh intake w/ increased amount on weekends. she has not had withdrawl or dt's in the past but was placed on ciwa scale in house as a precaution. she di not require any treatment as she demonstarted no sighs of withdrawl while here. she should continue the ciwa for 48 hours after discharge to complete 5 days off alcohol. she should continue thiamine, folate, multivitamin supplements. . 4 leukocytosis: slightly elevated wbc count noted on hd 2 (11.3) without signs of infection, which supsequently fell and remained normal. cxr/ua negative, no symptoms of infection. . 5 tobacco use: she was maintained on 14mcg daily nicotine patch while in house. medications on admission: none discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 2. hexavitamin tablet sig: one (1) cap po daily (daily). 3. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). 4. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for ciwa>10 for 2 days: please continue to assess per ciwa scale every four hours for withdrawl from alcohol and administer lorazepam as needed for ciwa >10. 5. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: discharge diagnosis: acetominophen overdose, suicide attempt. discharge condition: stable. discharge instructions: please take all medications as prescribed. please follow-up with your primary care physician once you are discharged. followup instructions: please follow up with your primary care physician and psychiatric services as determined by your inpatient psychiatric hospitalization. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of other (naso-)gastric tube combined alcohol and drug detoxification diagnoses: tobacco use disorder poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics drug withdrawal leukocytosis, unspecified home accidents cocaine dependence, continuous suicide and self-inflicted poisoning by other specified drugs and medicinal substances stricture and stenosis of esophagus suicide and self-inflicted poisoning by other and unspecified solid and liquid substances alcohol withdrawal toxic effect of ethyl alcohol acute alcoholic intoxication in alcoholism, continuous 

Answer: The patient is high likely exposed to