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: history of present illness: the patient is a 58-year-old man with a past history of schizo-affective disorder, bipolar type, suicidality and prior aspirin overdose. the patient has a long history of hospitalizations at and outpatient treatment at health center. he was in his usual state of health until two weeks prior to admission when he became "unhappy". he reports increasing anxiety and depression and a 5 lb weight loss. his adls also diminished. he stopped going food shopping. two days prior to admission, he tripped and knocked his t.v. out the window. the police were called to his apartment. he then became upset and dumped out some of his medications. on the day of admission, the patient took "a dozen" pills "to sleep". he then called ems. when they arrived, he said he felt "unwell", that he heard voices and had suicidal and homicidal ideation. on route to , he developed increasing lethargy with no focal neurologic deficits. fingersticks were not done. no nausea or vomiting. no fever or chills. no history of trauma. in the emergency room, he was afebrile, his blood pressures ran from 60's to 70's/20. his blood sugars ran in the 130's. he was bradycardic to 60. ekg was within normal limits with no ischemic changes. his blood pressure rose after boluses of normal saline. he was intubated for airway protection/respiratory depression. he was eventually extubated on . he had no hypoxia. he was given charcoal by nasogastric tube. he showed no response to narcan. work-up revealed a bun of 41, creatinine 2.3. serum and urine tox screens were negative. urinalysis had 100 protein and was otherwise negative. the rest of the chem 7, cbc were within normal limits. ct was negative. chest x-ray showed pulmonary edema with no infiltrates and no pneumothorax. past medical history: 1) schizo-affective disorder, bipolar type. onset in adolescence, chronic. followed by outpatient psychiatrist, dr. of . 2) aspirin overdose. 3) ecg treatments. 4) hypertension. 5) hypercholesterolemia. 6) non-insulin dependent diabetes mellitus. 7) coronary artery disease status post mi times two. 8) gerd. 9) benign prostatic hypertrophy. 10) status post enterococcal endocarditis in . 11) nms from stelazine. 12) lithium induced di. 13) occipital bleed status post fall. allergies: erythromycin, haldol, stelazine (neuro malignant syndrome), clozaril, lithium (diabetes insipidus). medications: on admission, depakote, tegretol, zyprexa, trilafon, gemfibrozil, zantac, thiamine, atenolol, lisinopril. social history: he lives alone. he has a girlfriend. unemployed, receiving ssi. history of gambling addiction. smokes cigarettes. occasional alcohol, history of alcohol abuse. family history: positive for bipolar disorder and depression. physical examination: in the micu, his vital signs were heart rate of 70, blood pressure 150/64, respiratory rate 10, o2 saturation 100%. generally, he was an intubated male in no acute distress. head was atraumatic, normocephalic. he had pinpoint pupils, reactive. his oropharynx was with mucus membranes moist. he had a regular rate and rhythm with no murmurs, rubs or gallops. he had occasional rhonchi with no rales on lung exam. his abdomen was soft, slightly distended, with normoactive bowel sounds. his extremities had no clubbing or cyanosis. his peripheral pulses were 2+ in dp/pt. he was sedated. we were unable to evaluate cranial nerves ii through xii. he had decerebrate posturing. his biceps and patellar reflexes were 2+. his babinski was downgoing. laboratory data: wbc 6.9, hematocrit 34.6, platelet count 226,000. sodium 140, potassium 4.1, chloride 108, co2 21, bun 41, creatinine 2.3, glucose 119. urinalysis, positive protein, serum and urine tox were negative. abg, 7.35/36/159. mcv 88, mch 32.5, mchc 36.9, rdw 11.6. retic 1.4, iron 26, tibc 205, transferrin 158, ferritin 223. hospital course: 1. respiratory: in the emergency room he was intubated for respiratory depression. he had no hypoxia. he was then transferred to the micu, where sedatives were minimized in order to allow the patient to wake up. he was extubated on without incident. he was then transferred to the floor with a two liter oxygen requirement. on the floor he was weaned from oxygen while maintaining his saturation. 2. psych: the patient is supposed to be on trileptal, tegretol, depakote, celexa, zyprexa, and haldol. it is unclear which and what number of pills the patient took during his overdose. he told his outpatient psychiatrist that he took 9 pills of celexa and 10 tegretol but this was prior to the overdose which calls into question the validity of the statement. his urine and serum tox screens were entirely negative except for carbamazepine of 2 and valproate less than 1. the patient was placed on a 1:1 sitter. the patient had received decanoate, the deeper form of haldol, prior to admission. per psychiatry, all psychoactive medications except zyprexa were held. zyprexa was eventually held secondary to orthostasis. status post extubation, the patient denied si and denied hi. he reported ah including command hallucinations. on the day of discharge, he was alert and oriented times three. 3. neuro: after waking up, the patient had weak hand grasp bilaterally and was unable to lift his legs off the table. when he arrived on the floor, he had generalized weakness which improved slowly over time. on the day of discharge he is still somewhat shaky on his feet and requires a walker for ambulation. pt was consulted for this issue. he had a resting tremor that became increasingly evident as he woke up. his reflexes remained brisk throughout his stay. 4. renal: on arrival the patient had acute renal failure and his renal function tests improved after 4 liters of fluid in the micu. they continued to gradually improve. on the day of discharge, his creatinine had returned to his baseline of 1.4. 5. endocrine: the patient has a history of diabetes type 2. his blood sugars remain within normal limits on an insulin sliding scale and . while in the micu, the patient was noted to have exophthalmos. on the day of discharge his tsh came back at 0.12 and t3 and free t4 are still pending. we recommend follow-up with his pcp. 6. heme: during this admission a work-up for anemia was done. labs were suggestive of iron deficiency anemia, and he was started on niferex 150 mg po q d. discharge diagnosis: 1. suicide attempt by polydrug overdose status post intubation for respiratory failure. 2. schizo-affective disorder, bipolar type. 3. ect treatment. 4. hypertension. 5. hypercholesterolemia. 6. diabetes mellitus type 2. 7. coronary artery disease, status post mi times two. 8. gerd. 9. benign prostatic hypertrophy. 10. status post enterococcal endocarditis in . 11. nms from stelazine. 12. lithium induced diabetes insipidus. 13. occipital bleed status post fall. discharge medications: protonix 40 mg po q d, niferex 150 mg po q d, cilium one packet in water po q d, docusate 100 mg po tid, gemfibrozil 600 mg po q d, insulin sliding scale, atenolol 25 mg po q d, asa enteric coated 325 mg po q d. discharge condition: fair. discharge status: to hospital, , for inpatient treatment. follow-up: with specialists at hospital regarding psychiatric management. with pcp regarding decreased tsh and possible iron deficiency anemia. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis acute kidney failure, unspecified suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents acute respiratory failure bipolar i disorder, most recent episode (or current) unspecified schizoaffective disorder, unspecified unspecified nonpsychotic mental disorder 

Answer: The patient is high likely exposed to