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: penicillin g / sulfa (sulfonamide antibiotics) attending: chief complaint: unresponsive major surgical or invasive procedure: central venous line placement femoral arterial line placment history of present illness: this is a 54 year old female with a history of depression who was found to be obtunded with evidence of seizure activity on . the patient had been feeling poorly for the past few weeks with gastrointestinal symptoms of nausea and vomiting prior to this episode. she reports that she took increased doses of her typical medications in an attempt to make herself feel better. she takes trazodone 100 mg, hydroxyzine 50 mg, clonidine 0.1 mg, citalopram 60 mg and simvastatin. she also may have taken some of her husband's pain medications. she denies that she took extra medications in an attempt to harm herself. she noted to her husband that she felt lightheaded while in bed watching television and then appeared to have a seizure and lost consciousness. ems was called and she was brought to the hospital. she was initially taken to where she wsa noted to have a wide complex tachycardia to the 170s thought to be ventricular tachycardia. she received ativan for her potential seizure activity and was intubated for airway protection. she was shocked four times for her wide complex tachycardia. she was hypotensive to the 60s systolic and received iv fluids and was started on levophed. she was started on a bicarbonate drip. she also received 2 mg magnesium, activated charcoal, lidocaine 100 mg, diprovan 20 mcg bolus, ativan 4 mg iv, fentanyl 250 mg iv, pancuronium 8 mg iv and was started on an amiodarone drip. she had a negative ct head. she was transferred to this hospital for further management. on arrival to this hospital her initial vitals were hr: 113 bp: 124/95 rr: 14 o2: 100% on ventilator. ekg showed sinus tachycardia. toxicology was consulted who recommended serial ekgs every 30 minutes. she had a left ij placed for access. she was started on vancomycin and zosyn for possible sepsis given hypotension and received an additional 2 l ivf. she had a cxr without focal infiltrate. she was admitted to the micu. while in the micu she was noted to have widening of her qrs with wide complex tachycardia which was responsive to bicarbonate and she required bicarbonate drip. she received additional activated charcoal. her antibiotics were changed to vancomycin and meropenem for ventilator associated pneumonia given penicillin allergy and concern that fluoroquinolones would widen qt interval. given persistent wide complex tachycardia there was concern for pharmacobezoar and she had an upper endoscopy which was within normal limits. she was extubated on without difficulty. immediately prior to transfer she was noted to have a black tarry stool which was guaiac positive. subsequent stools have been dark but guaiac negative. on exam she denies pain. she denies taking medications to try to harm herself. no fevers, chills, chest pain, difficulty breathing, nausea, vomiting, abdominal pain, diarrhea, constipation, dysuria, hematuria, leg pain or swelling. all other review of systems negative in detail. past medical history: -depression, with past history of cutting her wrists about 5 yrs ago, sees a psychiatrist - dr. at -anxiety -panic attacks -asthma -history of ethanol abuse, went through detox 5 months ago -vasovagal syncope -hip arthitis, s/p 2 replacments -hysterectomy -history of multiple falls with head injuries in past, last hit head in bathroom about 5 months ago social history: former heavy alcohol use, went through detoxification five months ago. previously drank 1 pint per day. smokes 1 pack per day for many years. previous history of narcotics abuse. she lives with her second husband and two daughters from a previous marriage. she is on disability. family history: father has "heart problems." physical exam: admission physical exam: vs: t: 98.3 hr: 86 bp: 77/57 rr: 15 o2: 100%ra gen: intubated, sedated, able to follow simple commands heent: et tube in place, conjuctiva clear, mmm neck: supple, no lad chest: cta b cv: rrr, no m, 1+ pulses abd: soft, nt, nd, +bs ext: no c/c/e neuro: pupils reactive, some horizontal nystagmus, no rigidity, reflexes hard to elicit in les, able to move fingers and toes to command on both sides, but very weak, sticks out tongue and blinks to command, tracks finger with eyes discharge physical exam: vitals: t: 98.9 bp: 125/79 p: 92 r: 18 o2: 97% on ra general: alert, oriented, intermittently animated and then flat affect heent: sclera anicteric, mmm, oropharynx clear 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, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: hematology: 09:04pm wbc-12.5* rbc-4.53 hgb-11.5* hct-35.1* mcv-78* mch-25.4* mchc-32.8 rdw-14.3 09:04pm neuts-70.1* lymphs-24.9 monos-4.1 eos-0.6 basos-0.3 09:04pm plt count-276 09:04pm pt-12.5 ptt-29.7 inr(pt)-1.1 06:55am blood wbc-6.9 rbc-4.15* hgb-11.1* hct-33.5* mcv-81* mch-26.7* mchc-33.1 rdw-15.8* plt ct-308 09:04pm blood neuts-70.1* lymphs-24.9 monos-4.1 eos-0.6 baso-0.3 06:55am blood plt ct-308 12:36am blood pt-12.3 ptt-37.5* inr(pt)-1.0 chemistries: 09:04pm blood glucose-129* urean-7 creat-0.8 na-142 k-3.9 cl-110* hco3-21* angap-15 02:37pm blood alt-12 ast-16 alkphos-53 totbili-0.7 02:37pm blood lipase-42 10:22am blood ck-mb-3 ctropnt-0.04* 01:04am blood ck-mb-2 ctropnt-0.05* 08:34am blood ck-mb-3 ctropnt-0.04* 09:04pm blood calcium-9.1 phos-3.5 mg-2.0 06:55am blood caltibc-218* ferritn-189* trf-168* 06:55am blood glucose-96 urean-2* creat-0.6 na-143 k-3.4 cl-106 hco3-26 angap-14 03:37am blood alt-9 ast-12 ld(ldh)-175 alkphos-52 totbili-0.5 06:55am blood calcium-8.8 phos-4.4 mg-1.8 iron-81 toxicology: 02:37pm blood asa-neg ethanol-neg acetmnp-7.5* bnzodzp-neg barbitr-neg tricycl-neg hydroxyzine: pending microbiology: sputum culture : respiratory flora urine culture : negative blood cultures and : negative stool for c. diff : negative imaging: cxr : the endotracheal tube tip terminates approximately 2.8 cm from the carina. a nasogastric tube tip terminates within the stomach, however, the side port is superior to the gastroesophageal junction and should be advanced. the cardiac silhouette is normal in size. patchy airspace opacities in both lung bases likely reflect atelectasis. the pulmonary vascularity is within normal limits. there is no large pleural effusion or sizable pneumothorax. pulmonary vascularity is within normal limits. : normal sinus rhythm, normal axis, normal intervals, no acute st segment changes brief hospital course: 54 year old female with a history of depression and prior suicide attempts who presented with altered mental status and hypotension felt to be secondary to medication overdose now transferred to the micu in stable condition. altered mental status/seizures/hypotension: likely related to medication overdose. likely medications taken include clonidine, citalopram, hydroxizine, trazodone and vicodin. tylenol and salicylate levels were negative. she received activated charcoal on two occasions. micu course was complicated by wide complex tachycardia which was responsive to bicarbonate drip. her qrs interval has now been stable off bicarbonate for nearly 96 hours. the time course of her widened qt interval was felt to be longer than expected raising concern for pharmacobezoar but she underwent upper endoscopy which was normal. her electrolytes are within normal limits. her altered mental status has resolved. infectious workup has been negative with the exception of a possible ventilator associated pneumonia. she has been followed by toxicology who recommend no further workup. she has also been seen by psychiatry who recommend inpatient psychiatric admission once clinically stable. at the time of discharge a hydroxyzine level was pending. the majority of her psychiatric medications were held during this hospitalization given overdose but she was restarted on risperdal 1 mg qhs which she tolerated well. ventilator associated pneumonia: on presentation patient had fevers and leukocytosis although this was in the setting of medication overdose. she also had concern for right sided infiltrate. she was started on vancomycin and meropenem for coverage of ventilator associated pneumonia. she completed a 7 day course of antibiotics. wide complex tachycardia: in association with overdose. she transiently required bicarbonate drip for control. she received four electric shocks prior to transfer to but did not require further electric cardioversion at this hospital. she was monitored on telemetry throughout her stay and was arrhythmia free for 96 hours prior to psychiatry transfer. depression/anxiety: as above, patient presented with medication overdose. she denies suicidal ideations but endorsed taking these medications to "feel better." her home medications were not resumed. she was seen by psychiatry who recommended initiation of risperdal 1 mg qhs. she tolerated this well. she is being transferred to inpatient psychiatry for further management. anemia: patient was noted to have a mild microcytic anemia on presentation. this was exacerbated by fluid resuscitation. she was guaiac negative once in the micu but was subsequently guaiac negative. iron studies were negative for iron deficiency. this should be rechecked by her primary care physician when she is discharged from psychiatry. she should also be referred for routine screening colonoscopy. asthma: stable. she did not require any inhalers during this admission. prophylaxis: she received sc heparin for dvt prophylaxis code status: full code disposition: to inpatient psychiatry medications on admission: trazadone 200mg hs clonidine 0.1mg hydroxyzine 100mg q6h citalopram 60mg qam simvastatin 40mg hs busperone 10mg tid discharge medications: 1. risperidone 1 mg tablet sig: one (1) tablet po hs (at bedtime). 2. simvastatin 40 mg tablet sig: one (1) tablet po once a day. 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain, fever. discharge disposition: extended care discharge diagnosis: primary: overdose wide complex tachycardia altered mental status ventilator associated pneumonia anemia depression discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you were seen and evaluted for your altered mental status. this was felt to be related to medication overdose. you were diagnosed with pneumonia during your stay and treated with antibiotics. you were seen by the psychiatry consult service who recommended transfer to inpatient psychiatry for further management. please take all your medications as prescribed. the following changes were made to your medication regimen. 1. please take risperidal 1 mg po at night 2. please stop your trazodone, clonidine, hydroxyzine, citalopram and busperone please keep all your follow up appointments as scheduled. followup instructions: please followup with your primary care physician weeks of discharge from psychiatry. if you do not have a primary care physician you can arrange to have one at by calling . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other endoscopy of small intestine arterial catheterization diagnoses: other iatrogenic hypotension anemia, unspecified asthma, unspecified type, unspecified other convulsions depressive disorder, not elsewhere classified suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents encephalopathy, unspecified ventilator associated pneumonia suicide and self-inflicted poisoning by other specified drugs and medicinal substances poisoning by other antihypertensive agents poisoning by other antidepressants suicide and self-inflicted poisoning by corrosive and caustic substances toxic effect of caustic alkalis 

Answer: The patient is high likely exposed to