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: haldol attending: chief complaint: found down major surgical or invasive procedure: intubation/extubation history of present illness: 34 y.o male w/ unknown pmhx found down at stadium. aax1, hemodynamically stable, responsive to sternal rub at the field. text message mentioned adderall and suboxone as meds. no known medical history. fs was "high." . initial ed vitals were: 99.2 103 129/59 15 96%. given naloxone 2mg iv, propofol drip, calcium gluconate 2 grams, albuterol 8 grams inhaler,10 units insulin regular.uncomplicated intubated (w/etomidate and vecuronium) for airway protection in the ed and desatting to 88% ra with copious amounts of oral secretions and diaphoresis. 3 liters of ns given in the ed on arrival to the micu, the patient is sedated, intubated and unresponsive.vitals were: 98.3 87 120/61 19 98%. review of systems: unable to be obtained given intubated status past medical history: diabetes social history: unable to obtain family history: unable to obtain physical exam: admission exam: vitals: t:99.0 bp:130/90 p:77 r:14 18 o2:97% cmv sedated fio240% general: intubated, sedated heent: sclera anicteric, mmm, oropharynx clear, 4mm b/l sym pupils sluggishly reactive to light. neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops. pronounced pmi in the 4th intercostal spaceat mid clavicular line lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly. on periumbilical region small erythematous scabbed over sub mm papules on normal skin color base, outlined, 3cm x5cm. gu: foley with yellow urine ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema. no flank discoloration.no thigh skin discoloration. neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred, finger-to-nose intact discharge exam: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly, erythematous area in the left lower quadrant 2cm x2xm , nontender, no drainage gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or mild edema of first metatarsal b/l neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred, finger-to-nose intact pertinent results: admission labs: 10:40pm blood wbc-8.9 rbc-4.04* hgb-11.3* hct-35.4* mcv-88 mch-28.1 mchc-32.1 rdw-13.5 plt ct-200 10:40pm blood neuts-85.6* lymphs-9.2* monos-3.5 eos-1.3 baso-0.3 11:20pm blood na-128* k-7.3* cl-93* 10:40pm blood urean-26* creat-1.4* 10:40pm blood alt-26 ast-38 ld(ldh)-276* ck(cpk)-461* alkphos-120 amylase-12 totbili-0.5 10:40pm blood lipase-9 10:40pm blood ck-mb-8 ctropnt-<0.01 02:04am blood calcium-8.3* phos-4.1 mg-2.1 10:40pm blood albumin-4.2 10:40pm blood osmolal-315* 10:40pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 01:03am blood type-art temp-36.8 rates-18/ tidal v-540 peep-5 fio2-40 po2-139* pco2-51* ph-7.31* caltco2-27 base xs--1 -assist/con intubat-intubated 10:56pm blood glucose-greater th lactate-1.5 na-127* k-6.1* cl-90* calhco3-25 10:56pm blood hgb-11.7* calchct-35 discharge labs: 02:04am blood wbc-7.5 rbc-3.62* hgb-10.5* hct-31.2* mcv-86 mch-29.0 mchc-33.8 rdw-13.3 plt ct-186 02:04am blood pt-11.4 ptt-32.1 inr(pt)-1.1 02:04am blood glucose-503* urean-24* creat-1.2 na-136 k-4.0 cl-101 hco3-22 angap-17 02:04am blood ck(cpk)-345* 02:09am blood type- temp-36.7 rates-22/ tidal v-540 peep-5 fio2-40 po2-148* pco2-43 ph-7.35 caltco2-25 base xs--1 intubat-intubated vent-controlled 11:31pm urine bnzodzp-neg barbitr-neg opiates-pos cocaine-pos amphetm-pos mthdone-pos imaging: cxr: mild pulmonary vascular congestion. ct head: no acute intracranial process. ct c-spine: no acute fracture or malalignment. brief hospital course: 34m found down at , intubated for airway protection thought to have polysubtsance overdose and found to have hyperglycemia, hyponatremia and hyperkalemia. #altered mental status: likely polysubstance ingestion including potential adderall, suboxone, and heroine, cocaine given urine tox results. negative for alcohol. intubated for airway protection. ct neg for acute abnormality. toxicology consulted and recommend supportive management for now with no activated charcoal. afebrile on admission. sedated with propofol. even though he was diaphoretic and was found to have oral secretions prior to intubation, did not have miosis, bradycardia, emesis, or broncospasm to suggest organophosphate poisoning. no seizure like activity in the field, nor during micu stay. extubated the morning after admission. mentating well and wanted to leave so was discharged because he was medically stable. #hyperglycemia: anion gap of 10. unknown hx of diabetes on admission but diagnosis later confirmed by mother. was afebrile with no signs of infection. 10 ketones in urine. no ischemic changes on ekg, ce's sent in ed neg. likely hyperglycemic acute intoxication with polysubstances. gave aggressive iv fluids and started iv insulin drip. transitioned to sq insulin once gap closed. # polysubtance abuse: utox pos for opiates, cocaine, amphetamines, methadone. altered and hypoxic on admission suggesting polysubstance overdose. admitted to using 1 gram of iv heroin daily. psychiatry was consulted to eval for intentional overdose - no evidence was found for this so 1:1 sitter discontinued. recommended discontinuing adderall, prozac, ambien, baclofen indefinitely to be re-evaluated by pcp if truly needed. both baclofen and ambien were meds he had only filled for the first time the day before admission. he was offered rehab/detox/connecting with social programs to assist in sobriety but declined all and did not desire pursuing sobriety at this time. he was exhibiting signs of heroin withdrawal the morning after admission. he was treated symptomatically with clonidine, hydroxyzine, bentyl, etc. (no methadone) while in house. #hyponatremia- likely due to elevated glucose, corrected at approx 133 given glucose level of approx 600. treated with ivf and it resolved by morning. #hyperkalemia- potassium above 6.5 with peaked t waves. creatinine elevated at 1.4 with unknown baseline. hyperkalemia likely from arf due to pre renal etiology and acidemia given hyperglycemic state per above. ck mildly elevated but not enough to be c/w rhabdo. resolved with iv fluids per above. #anemia- unknown hct baseline,normocytic, no current evidence of acute external or gi bleed. platelet count and white count normal. #papules- on abdomen, no signs of active cellultis could represent contact dermatitis or folliculits. no action taken. transitional issues: - follow up with pcp in one week - encourage cessation of illicit substances medications on admission: lantus 36 units qam humalog ssi baclofen 20 mg tid --> first time zopidem 10 mg daily --> first time adderral 30 daily --> not first time fluoxetine 40 daily --> 20 mg before discharge medications: 1. multivitamins 1 tab po daily 2. thiamine 100 mg po daily 3. glargine 36 units breakfast insulin sc sliding scale using hum insulin discharge disposition: home discharge diagnosis: polysubstance abuse, overdose hyperglycemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you came to the icu because you had altered mental status and became hypoxic. you were intubated. you were found to have multiple drugs in your system and your blood sugar was very high. you were treated for hyperglycemia and your blood sugars improved. you were seen by a psychiatrist who offered drug rehab and detox but you refused these, so you were discharged when you were medically stable. you should avoid using drugs in the future. not only can they cause your blood sugars to become highly abnormal, but they can also lead to heart disease, arrhythmias, infections of your heart/lungs/brain, and death. if you ever decide to pursue rehab or detox, please talk to your primary care doctor, who can help arrange this for you. followup instructions: please follow up with your primary care doctor within one week. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: hyperpotassemia anemia, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia other, mixed, or unspecified drug abuse, unspecified cocaine abuse, unspecified poisoning by opium (alkaloids), unspecified opioid type dependence, continuous accidental poisoning by other opiates and related narcotics amphetamine or related acting sympathomimetic abuse, unspecified other specified disorders of skin 

Answer: The patient is high likely exposed to