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: a 19 year old single white female who was brought to the emergency department after a suicide attempt. per the patient, the patient's boyfriend, and records, the patient reportedly was drinking alcohol and swallowed approximately 20 pills of 50 mg of diphenhydramine (over-the-counter benadryl). after ingesting the medication, she reportedly called her boyfriend, and her boyfriend notified . suicide note was found at the scene. the patient was brought to the , and admitted to medical intensive care unit. past medical history: 1. history of mood disorder/bipolar disease 2. history of several suicide attempts 3. history of "cutting" 4. history of sexual abuse/sexual assault 5. history of substance abuse social history: she has a tenth grade education with a ged. she is estranged from her parents, who live in . she has a boyfriend, who currently lives in as well. she also has a history of injurious behavior via cutting her arms and legs. psychiatric history: she has been prescribed psychiatric medications but has been noncompliant. physical examination: heartrate 130, blood pressure 130/80, respiratory rate 16, oxygen saturation 100% on nonrebreather. in general she is obtunded, with a very poor response to noxious stimuli, limited response to sternal rub. head, eyes, ears, nose and throat: normocephalic, atraumatic. pupils equally round, reactive minimally at 4 mm, unable to check if her extraocular motions are intact, dry mucous membranes and poor gag reflex. neck: supple. chest: coarse upper airway breathsounds. heart: tachycardiac, no murmurs. abdomen: soft, nontender, nondistended, decreased bowel sounds. extremities: warm and dry, no edema. multiple linear abrasions on her left and right medial forearms, resembling areas where she cut herself with razorblades. bilateral thighs with old linear scars of previous cutting episodes. neurologic: moans to noxious stimuli, minimally responsive, moves extremities to very painful stimuli. laboratory data: on admission white blood cell count 9.3, hematocrit 41.1, platelets 343. sodium 143, potassium 4.7, chloride 106, bicarbonate 25, bun 7, creatinine 0.6 and a glucose 104. calcium 9.5, magnesium 2.0, phosphorus 3.6, alt 26, ast 40, alkaline phosphatase 58, amylase 31, albumin 5.1, urine toxicology screen negative. urinalysis negative. serum toxicology screen positive for ethanol level 227. electrocardiogram sinus tachycardia at 145, no st segment changes. qtc is 453. impression: a 19 year old female with a history of mood disorders, and by history three previous suicide attempts, who apparently ingested 20 some benadryl tablets accompanied by ethanol abuse in a suicide attempt. the patient is obtunded and can not protect her airway. hospital course: the patient was intubated for respiratory/airway protection, until the benadryl was mobilized and metabolized. she was put on propofol for sedation and extubated without event. she had one episode of vomiting while she was intubated, and developed a ? aspiration pneumonitis, but did not develop aspiration pneumonia. she was extubated on hospital day #2 without event. after she was extubated, she was given incentive spirometry which she used well and on the day of discharge her oxygen saturation was 96 to 98% on room air, ambulating and resting. her pulmonary status is good, and appears to have no more respiratory problems whatsoever. cardiac - the patient had a prolonged qtc at 453, in the setting of overdose of benadryl. her electrocardiograms were checked, and the qtc prolongation resolved. haldol was not given to the patient secondary to the possible side effects of qtc prolongation. psychiatry - psychiatry consult was obtained in this patient, they recommended a 1:1 observation sitter, as well as they were actively involved with helping obtain psychiatric care for the patient. on psychiatric evaluation the patient was unreliable as a historian. given her prior suicide attempts, she had told others that this overdose was meant as a suicide attempt. but given her ethanol use, and unreliability, she met the criteria for a section 12 for psychiatric inpatient evaluation. toxicology - the toxicology team followed the patient from her presentation at throughout her hospital stay. they recommended airway protection (intubation), as she was not able to protect her airway. furthermore, she was given an activated charcoal as a single dose via her nasogastric tube after airway production. electrocardiograms were checked q. 6 hours as the diphenhydramine could cause conduction abnormalities. physostigmine was considered, however, was not given, secondary to the fact that the patient was not agitated, there was no agitated delirium and specifically was not indicated at that time. skin - the patient developed a very mild cellulitis on her right medial forearm, overlying the area of her cutting episode. the patient was started on oxacillin 2 gm intravenously q. 4 hours while an inpatient. she was given intravenous antibiotics for 24 hours and then was changed to dicloxacillin 500 mg p.o. q.i.d. times 13 days to finish out a 14 day course of antibiotics. disposition: a 19 year old female status post ethanol and benadryl overdose in an apparent suicide attempt, also status post intubation/extubation which is for airway protection secondary to obtunded state from her overdose. she was extubated without event and transferred to the floor without problems. she has been afebrile. her white blood count is 11 and she is hemodynamically stable. she will continue a course of antibiotics for 13 days to treat her cellulitis. she is medically stable to be discharged to an inpatient psychiatric facility, under section 12 order, for inpatient psychiatric care. discharge diagnosis: 1. status post extubation 2. overdose of benadryl and ethanol, suicide attempt 3. cellulitis (over area of cutting) 4. history of bipolar disease 5. history of cutting 6. history of multiple suicide attempts 7. history of substance abuse discharge medications: dicloxacillin 500 mg p.o. q.i.d. times 13 days (total of 14 day course treatment) discharge instructions: 1. the patient is to be discharged directly to an inpatient psychiatric facility. 2. she is under section 12. 3. one-to-one sitter. 4. suicide precautions , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: alcohol abuse, unspecified pneumonitis due to inhalation of food or vomitus cellulitis and abscess of upper arm and forearm bipolar i disorder, most recent episode (or current) unspecified suicide and self-inflicted poisoning by other specified drugs and medicinal substances poisoning by antiallergic and antiemetic drugs 

Answer: The patient is high likely exposed to