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 37 year-old male who the night of admission had been at a party during which he drank alcohol and possibly used other illict substances. the patient went home approximately 2:00 a.m. with his girlfriend. report from the girlfriend the patient began gargling and having rhoncherous breath sounds in his sleep. the girlfriend then moved to another room so she could sleep. later in the morning she found the patient pale, and with white foam around his mouth. she called ems immediately who found the patient to be apneic. the patient was intubated in the field and provided pressor ventilation and transported to on arrival to the emergency department the patient was obtunded responding only to deep suction. the patient's initial arterial blood gases on 100% fio2 was 7.03/33/48. the patient was given 2 amps of bicarbonate and repeat arterial blood gases was 7.15, 36, 419. as the patient was intubated requiring ventilatory support he was admitted to the intensive care unit. a toxicology screen was positive for ethanol, cocaine, and opiates. past medical history: none. medications: none. allergies: no known drug allergies. social history: the patient lives with his girlfriend for the past month. she has a 10 year-old son in the house. the patient drinks alcohol heavily in the weekends and denies known other drug use. physical examination: temperature 97.4. 111. 115/41. 100% oxygen saturation on assisted control. 25 times 850 with fio2 of 100%. in general, the patient was intubated, somnolent with eyes opening to sternal rub. heent pin point pupils. face symmetrical. neck was thick, supple. no lymphadenopathy. chest revealed equal breath sounds bilaterally. cardiac examination s1 and s2. regular rhythm. tachycardic. no murmur. abdomen was soft, nontender. no guarding or rebound. extremities no edema with 2+ peripheral pulses. skin revealed no rash. laboratories on admission: white blood cell count 23.4, hematocrit 46.7, platelets 345. differential 72 neutrophils, 4 bands, 20 lymphocytes, 4 monocytes. inr 1.7, ptt 49.9, sodium 143, k 4.9, chloride 100, bicarb 13, bun 17, creatinine 2.4, glucose 110, anion gap was 30. alt 872, ast 638, alkaline phosphatase 122, bilirubin .3, amylase 311, lipase 202, albumin 4.4, ionized calcium 1.07. the patient's ck was 300 with an mb of 13 and an mb index of 4.3. serum calcium 8.7, phosphate 17.8, magnesium 3.9. urinalysis greater then 300 protein, moderate blood, 3 to 5 white cells, nitrate negative, 0 to 2 white blood cells. tox screen, ethanol level 179. urine tox screen positive for opiates and cocaine. head ct was negative for acute process. chest x-ray revealed a question of a developing right lower lobe process. electrocardiogram revealed no acute st or t wave changes and narrow qrs complex and sinus tachycardia. hospital course: the patient's initial arterial blood gas was very concerning for the degree of acidosis. the mode was switched to ac 28 times 850 and he was weaned to 50% oxygen to which the patient's gas improved 7.26/27/100. the et tube was in place with equal breath sounds bilaterally. the patient continued to be somewhat hypotensive in the emergency department and required dopamine at 10 micrograms per kilograms per minute for support of blood pressure. in the setting of the patient's history and laboratory values the patient's profound acidosis was felt to be secondary to a lacticacidemia from both hypotension and the possible rhabdomyolysis. additionally, the patient had consumed alcohol, which may have been contributing to his anion gas acidosis. the decision was made to hyperventilate the patient to correct his acidosis as well as to slowly replete bicarbonate by intravenous fluids. from a cardiovascular standpoint the patient's elevated ck with negative mb were consistent with rhabdomyolysis, however, there was a slightly elevated troponin value of .9. this was thought to be a result of a troponin leak due perhaps to hypoperfusion of the coronary arteries. serial cardiac enzymes were followed. pulmonary: there was concern for an aspiration pneumonia versus pneumonitis on the initial chest x-ray. the patient was started on levaquin and flagyl. sputum cultures were sent. from a gi standpoint the patient's transaminases increases were felt to be a result of shock liver from prolonged hypoperfusion. liver function tests were checked serially during the hospital stay. on hospital day two () the patient was extubated. arterial blood gas at that time 7.4/39/116. the patient's mental status gradually improved. the patient was able to begin answering questions about his own history. the patient continues to assert that he had been drinking the evening of his apneic episode, but denied additional substance abuse. by hospital day two the patient's ck value had reached . the alt had reached 3615 and the ast 3910. the patient's total bilirubin was .5 and alkaline phosphatase was 17. additionally the patient's troponin level peaked at 18.4. these laboratory findings were consistent with the previously considered ideas of shock liver as well as a mild rhabdomyolysis with lactacidosis. the patient continued fluid resuscitation. additionally the patient continued levaquin and flagyl for a possible right lower lobe pneumonia. the patient was transferred to the floor in stable condition on the evening of the (hospital day two). the patient's repeat liver function tests on the evening of hospital day two, alt was down to 2607, ast 1288, ck, however had continued to course upward at 3673. on hospital day three the patient's troponin value decreased from 18.4 to 5.3. additionally the patient's ck value had trended down from 3673 to 2803, with alt 2282, ast 897. clinically the patient continued to improve. the patient was ambulatory and began taking po intake. intravenous rehydration continued as a result of the patient's elevated ck and picture of rhabdomyolysis. additionally on hospital day three arrangements were made for the patient to be seen by the addiction recovery service, as he now admitted to alcohol use and "some cocaine use" on the evening prior to admission. the patient was continued on levaquin and flagyl for a likely aspiration pneumonia. on hospital day four () the patient's clinical status continued to improve. the patient underwent an echocardiogram, which was unremarkable, with normal lv systolic and valvular function. the patient remained on telemetry and the ck and troponin values in addition to liver enzymes were rechecked. the patient's ck value was down from 2803 to 1119. the patient's troponin was down from 5.3 to 2.9, alt was down from 2282 to 1094, and ast was down from 1897 to 360. the patient's bilirubin had increased slightly to 1.9. alkaline phosphatase remained normal at 82. intravenous fluid resuscitation continued and the patient was continued on levaquin and flagyl. on hospital day five the patient was feeling well, ambulatory in the and eating solid foods. the patient was eager for discharge. telemetry was discontinued. at this time, ast 128, alt 917, alkaline phosphatase 76, total bilirubin down 2.9. the patient's cpk value was down to 399. additionally on the 31st the patient was seen by the addiction service, which offered the patient some resources. the patient had indicted that he would be following up with alcoholic's anonymous meetings. the patient is discharged on with his girlfriend in good condition. the patient is discharged to home. discharge diagnoses: 1. shock liver. 2. troponin leak secondary to myocardial hypoperfusion. 3. acute polysubstance intoxication. 4. aspiration pneumonia. discharge medications: 1. flagyl 500 mg po t.i.d. times three days. 2. levaquin 500 po q.d. times three days. follow up: the patient is instructed to follow up with dr. at the clinic within the next two weeks. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis alcohol abuse, unspecified poisoning by opium (alkaloids), unspecified accidental poisoning by other opiates and related narcotics acute respiratory failure pneumonitis due to inhalation of food or vomitus other disorders of muscle, ligament, and fascia toxic effect of ethyl alcohol accidental poisoning by alcoholic beverages 

Answer: The patient is high likely exposed to