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: acute mental status change, respiratory failure major surgical or invasive procedure: endotracheal intubation placement of arterial line history of present illness: patient is a 31 yo man with pmhx sig. for narcotic abuse who presents with acute mental status changes. per family, he was completely at his baseline at 3pm yesterday afternoon. had no compliants. also spoke to him at 8:30pm and was fine. reportedly, he was at a friend's house last evening, and somehow made it back home, where he lives with his brother. his brother found him on his bed mildly responsive, gurgling, with labored respirations. he was also noted to have vomit all over him. ems was called. he received 4 mg of narcan im without response. he was brought to hospital, satting 86% on nrb (abg 7.05/77/41) and intubated. rr was 34, pulse 128. ct head read as normal. cxr showed patchy infiltrates. u/a negative. he had a wbc of 22, glu 400. pt was given azithromycin and ctx as well as lasix 60 mg, 6 units of insulin. urine positive for opiates. pt was also noted to be in a fib with rate of 130s, converted after given diltazem 60 mg bolus and started on gtt. he also received a total of 12 mg of ativan for sedation. . patient was medflighted to . in the , pt is in sinus at rate of 85. bp 114/59, rectal t 100. abg 7.27/57/76, satting 100% on ac 500x16, peep 10, on fio2 100%. he is not on sedation. . ros: unable to obtain past medical history: history of narcotic, heroin abuse h/o depression, previously on celexa, stopped 4 months ago social history: history of heroin and narcotic abuse for years. per his family, he has been clean for the last 8 months. he got a job yesterday. smokes 1ppd. problem with alcohol. family history: no history of cad, arrhythmias. lymphoma in mgm, breast cancer throughtout mother's side physical exam: not included in micu admission note. pe before call out to floor: afvss awake, alert, pleasant, no distress. clean cut, muscular young man. ctab, no adventitious lung sounds s1 s2 clear, no m/r/g abd soft, nt nd no ble edema. 5/5 strength and sensation in extremities. pertinent results: osh labs: . 22>------< 244 49.8 75%n, 19%l, 5%m . 133 92 14 ---------------< 441 92 29 1.5 . lfts wnl ces: ck 126, ck mb 1.4, trop 0.02 (0.0-0.04) acetone negative alcohol <5 urine tox positive for opiates . labs at , summarized wbc 8.7 stable --> 17% bandemia now resolved h/h 12.6/35.9 plts 159 pt 14.5 ptt 27.5 inr 1.3 retic 1.6 chems normal except phos low at 1.9 bun/cr 7/0.9 ck 475 lft's normal lipase 26 normal mb x3 negative, trop originally 0.09 --> now <0.01 alb 3.3 lactate 2.9 --> 1.1 ua negative utox positive for opiates . images: cxr findings: as compared to the previous radiograph, there is a clear improvement. the lung volumes have increased, also increased is the transparency of the lung parenchyma. some remnant right basal and left mid and lower lung opacities are seen, including some areas of retrocardiac atelectasis, but both the distribution and the severity is less extensive than on the previous radiograph. the size of the cardiac silhouette has slightly decreased. there is no evidence of overhydration and no evidence of newly appeared focal parenchymal opacities. on today's radiograph, the tip of the endotracheal tube projects 4 cm above the carina. the course of the nasogastric tube is unchanged. no evidence of pleural effusions . cxr - diffuse consolidation and nodules are concerning for metastatic disease or septic emboli, athough cavitation often present with septic emboli are not seen. . ekg - sinus rhythm. short p-r interval. normal tracing for age. no previous tracing available for comparison. brief hospital course: 31 yo m with history of narcotic/heroin abuse found unresponsive, respiratory failure, intubated at osh. . 1. respiratory failure: attributed to respiratory depression and neurogenic pulmonary edema in the setting of narcotic overdose. elevated a-a gradient and ards criteria warranted low tidal volume ventilation. cxr on hd#2 showed resolution of diffuse left-sided patchy interstitial opacities. weaned to psv and extubated to nasal cannula on hd#2. called out to floor in no distress, satting well on room air, no further issues. . 2. aspiration pneumonia v. pneumonitis: as above. no signs of septic shock (briefly hypotensive after starting propofol, improved with weaning of dilt). started on empiric ceftriaxone/clindamycin. switched to levofloxacin on for cap coverage given persistent fever, cough, & hypoxemia. discharged on short course of levofloxacin. . 3. hct drop, plt drop. have been dry. stable since repeat. no schistocytes on smear. hct stable on discharge. . 4. atrial fibrillation: likely secondary to hypoxemia. converted to sr on diltiazem gtt which was discontinued upon arrival in the micu. benefit from outpatient echo to evaluate for structural heart disease. . 5. nstemi: likely subendocardial ischemia in the contextof respiratory failure atrial fibrillation. trending down the normal range without intervention. . 6. substance abuse: social work consulted when pt stable on floor. was given plenty of information regarding aa/na. medications on admission: none discharge medications: 1. levofloxacin 250 mg tablet sig: three (3) tablet po q24h (every 24 hours) for 3 days. disp:*9 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. acute opiate overdose 2. aspiration pneumonitis/pneumonia discharge condition: by the time of discharge, pt was awake, alert and satting well on room air, vital signs were stable and pt was deemed medically clear for discharge. discharge instructions: you were admitted to with an opiate overdose, unresponsiveness, and respiratory failure. you were admitted to the intensive care unit where you were resuscitated and treated for an aspiration pneumonia. your lungs were acutely injured but should recover well, please continue to take the levofloxacin 750mg daily for another 3 days. we strongly advise you to avoid illicit drug use and continue to frequent your local aa/na meetings. if you experience fevers, chills, night sweats, chest pain, shortness of breath or any other general worsening of condition, please call your pcp or come directly to the ed. followup instructions: please follow up with your primary care physician . , by calling . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: atrial fibrillation poisoning by opium (alkaloids), unspecified accidental poisoning by other opiates and related narcotics acute respiratory failure pneumonitis due to inhalation of food or vomitus opioid abuse, unspecified 

Answer: The patient is high likely exposed to