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 homeless man with a history of bipolar disease who attempted suicide on , after ingesting thirty to fifty 500 mg depakote tablets. the patient was taken to hospital where he was treated with charcoal. his valproic acid level was 247, peaking at 269. he was treated initially with charcoal but, because he became more obtunded during the course of the day, the patient was transferred to the medical intensive care unit on . the patient's urine toxicology screen was also positive for cocaine and he was also found to have pancreatitis with an elevated lipase of 1083 and an amylase of 588 with normal liver function tests. hemodialysis was planned for the patient and a femoral quinton catheter was placed but hemodialysis was delayed secondary to hypotension which developed. on , the patient was noted to have an ammonia level of 276. ct scan of the head was performed which was negative for any acute changes. the patient continued to receive activated charcoal with sorbitol every four hours via nasogastric tube from , onward with a decrease in valproic acid levels down to 225 on , 83 on , and 30 on . his ammonia level on 06/w8/02, was 36. on , the patient intubated for hypoxia, a large a/a gradient and for aspiration pneumonia. he had been receiving tequin intravenously from , to , but then was changed to ceftriaxone and clindamycin. his chest x-ray at that time reported showed increasing bibasilar infiltrates. additionally on the night of , the patient was noted to have a seizure with a twitching and shaking of his left arm, jaw and left side of face. a repeat ct scan of the brain was performed without contrast which revealed no changes. on , the patient was transferred to the medical intensive care unit, for further management of his hypoxia, hypotension and seizures. past medical history: 1. chronic pancreatitis. 2. bipolar disorder. he is being treated with zyprexa 15 mg once daily and depakote 250 mg p.o. twice a day. 3. hypertension for which he received hydrochlorothiazide 25 mg once daily. 4. history of cocaine use. 5. transurethral resection of prostate in . 6. acute renal failure in , secondary to urinary retention. 7. history of seizures ?. the patient received tegretol as an outpatient medication. 8. status post hernia repair. medications on transfer: 1. famotidine 20 mg intravenously q12hours. 2. propofol intravenously. 3. versed 12 mg q.h. 4. artificial tears to both eyes. 5. dw5 at 75 cc/hour. 6. multivitamins 10 ml/once daily. 7. folic acid 1 mg intravenously once daily. 8. thiamine 100 mg intravenously once daily. 9. charcoal with sorbitol q4hours pgt. 10. ceftriaxone two grams intravenously q8hours. 11. clindamycin 600 mg intravenously. 12. carnitine 1250 mg intravenously q8hours. at the time of transfer, the patient was intubated and mechanically ventilated on fimv, respiratory rate 12, tidal volume 650 cc and peep at 7.5 and fio2 at 60%. social history: the patient smokes one pack per day of cigarettes. he reportedly denies alcohol use. he lives in a homeless shelter and has a history of polysubstance abuse. his health care proxy is a lawyer, , who is also his friend, telephone . family history: noncontributory. physical examination: general - unresponsive. vital signs revealed temperature maximum of 104, heart rate 60s, blood pressure 104/80, respiratory rate 16. neck - no jugular venous distention, carotid uptakes were shallow. chest - scattered rhonchi. cardiovascular - heart sounds distant. gastrointestinal - the abdomen is soft, bowel sounds hypoactive, no masses. extremities - no cyanosis, clubbing or edema. pedal pulses were 1+ bilaterally. neurologically unresponsive. the pupils are constricted, minimally responsive to light. laboratory data: on ventilatory settings of a tidal volume of 750 cc and peep of 8 and fio2 of 60%, respiratory rate 22, arterial blood gases revealed ph 7.39, pco2 29, po2 77, bicarbonate 18. white blood cell count was 9.6, hematocrit 31.7, platelets 58,000. glucose 62, blood urea nitrogen 15, creatinine 1.0. sodium 140, potassium 4.0, chloride 112, co2 18, ammonia 36. sputum gram stain showed 1+ gram positive cocci, 1+ gram negative rods, 1+ gram positive rods. electrocardiogram revealed sinus tachycardia, right bundle branch block, left atrial deviation, left anterior fascicular block at hospital. arterial blood gases dated , at 10:15 a.m. at vent settings of assist control tidal volume 700 cc and rate of 20, peep of 8 and fio2 60%, showed a ph of 7.42, pco2 30 and po2 of 72. chest x-ray showed vague haziness at both bases. no congestive heart failure. heart size normal. hospital course: 1. pulmonary - the patient was treated for multilobar aspiration pneumonia. a chest ct done , showed atelectasis, bibasilar collapse, ground glass opacities in the right middle lobe and lingula. the patient has remained agitated and occasionally desynchronous with a vent requiring increasing sedation as needed and was intermittently paralyzed. the patient also had increasing secretions which limited his weaning from the vent and required aggressive pulmonary toilet with intermittent desaturations. the patient was trached on . at present, the patient is being weaned from his ativan and fentanyl drips and is being transitioned over to a fentanyl patch and haldol p.o. medication. he has been switched over to pressure support of 5 and a peep of 5 with a fio2 of 40%. his oxygen saturation is 96% on these settings with a respiratory rate of 20 to 30s and a tidal volume at 700. 2. infectious disease - the patient has had low grade fevers with intermittent spikes into 101. the patient has been pancultured numerous times and lines have been changed. the cause of the fever is suspected to be pneumonia. the patient has been receiving an aggressive antibiotic regimen including ceftazidime for which he is completing a fourteen day course, vancomycin for which he is also completing a fourteen day course, and flagyl for which he received eighteen days. the only culture positive result thus far has been sputum culture which has been positive for coagulase positive staphylococcus aureus which is resistant to methicillin. ct scan of the sinuses was done looking for sinusitis which showed thick frontal, ethmoid, left maxillary, sphenoid sinus mucosa consistent with sinusitis. otherwise, no obvious other source of infection has been determined. 3. neurologic - the patient's baseline mental status is unclear. electroencephalogram was done to evaluate for possibility of neurological recovery on , which showed encephalopathy, likely secondary to medication, however, no evidence of focal neurological deficit was found. a repeat head ct scan was done which was negative. a lumbar puncture was also negative. the patient's mental status has improved over the hospital course from unresponsiveness to now being able to open his eyes. however, the patient is minimally responsive to vocal commands. 4. cardiovascular - the patient has been hypotensive intermittently throughout his hospital course, occasionally requiring dopamine for pressure support. the hypotension is likely secondary to sepsis. currently, the patient now has become hypertensive to blood pressure in the 190 to 200 over 90 to 100 range. the patient has been started on diltiazem 60 mg p.o. four times a day with good response in his blood pressure which is now in the 140 to 150s over 70 to 90s. 5. hematology - an abdominal ct which was done to look for evidence of pancreatitis showed incidentally the presence of a right common iliac deep vein thrombosis. the patient has been on therapeutic doses of heparin. we will be transitioning him to coumadin as soon as all his procedures/lines have been completed. 6. gastrointestinal - the patient's pancreatitis has resolved with amylase and lipase levels within normal range. abdominal ct scan performed on , showed no evidence of pancreatitis, shotty retroperitoneal lymphadenopathy, bilateral renal stones, thickened terminal ileum ?, and a right common iliac deep vein thrombosis. a percutaneous endoscopic gastrostomy tube was placed on , for nutrition and tube feeds were started with peptamen with a goal rate of 70 cc/hour. condition on discharge: stable. discharge status: to rehabilitation for ventilatory weaning. discharge diagnoses: 1. depakote overdose. 2. status post pancreatitis. 3. pneumonia, aspiration and methicillin resistant staphylococcus aureus. 4. difficulty weaning from ventilator. 5. hypertension. 6. substance abuse. 7. seizure history. medications on discharge: 1. diltiazem 60 mg p.o. three times a day. 2. peptamen vhp tube feeds at 70 ml/hour. 3. heparin drip. 4. beclomethasone dipro one spray per nostril twice a day. 5. acetaminophen 325 to 650 mg p.o. q4-6hours p.r.n. 6. lansoprazole oral solution 30 mg nasogastric once daily. 7. vancomycin one gram intravenously q8hours. 8. miconazole powder 2% one application tp three times a day p.r.n. 9. albuterol sulfate ipratropium four puffs inhaled q4-6hours. 10. haldol 2 mg p.o. q8hours. 11. fentanyl 75 mcg q72hours. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube interruption of the vena cava enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy diagnoses: other convulsions acute respiratory failure pneumonitis due to inhalation of food or vomitus bacteremia paralytic ileus acute pancreatitis poisoning by other and unspecified anticonvulsants suicide and self-inflicted poisoning by other specified drugs and medicinal substances 

Answer: The patient is high likely exposed to