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: no known allergies / adverse drug reactions attending: chief complaint: trauma major surgical or invasive procedure: gelfoam embolization was performed to the right hepatic artery history of present illness: 35m hit who fell from his horse and in the process hit tree branches at around 4 pm on . he was initially treated at hospital with a hct of 41 but on trauma eval was found to have active extravasation from a branch of a hepatic artery from segment ii of the liver and concurrently had an episode of hypotension. he was transferred to for further management. in the ed, he had an hct of 33 and was transfused 2 units of prbcs due to borderline hypotension. injuries: segment iii liver laceration with active blush past medical history: pmh: none psh: appendectomy social history: smokes one pack daily. drinks six beers daily. family history: non-contributory physical exam: upon presentation to : temp: 97.9 hr: 72 bp: 124/75 resp: 22 o(2)sat: 100 ra normal constitutional: pale, ill-appearing heent: pupils bilaterally, superficial lacerations on forehead, normocephalic, atraumatic, pupils equal, round and reactive to light, extraocular muscles intact oropharynx within normal limits chest: breath sounds reproducable bilaterally cardiovascular: regular rate and rhythm abdominal: diffusely tender, firm, no guarding, no rebound, small abrasion on l superior abdomen, nondistended pelvic: pelvis stable gu/flank: no perineal tenderness , no costovertebral angle tenderness extr/back: palpable distal pulses, no gross deformities on bue or ble., no cyanosis, clubbing or edema skin: no rash, warm and dry neuro: neuro exam normal , speech fluent psych: normal mood, normal mentation heme//: no petechiae pertinent results: 10:45pm wbc-14.6* rbc-3.47* hgb-11.6* hct-33.0* mcv-95 mch-33.3* mchc-35.0 rdw-11.3 10:45pm lipase-186* ct torso: liver laceration through left lobe (segment iii) with adjacent active extravasation. appears to be injury to an arterial branch supplying the left lobe. main hepatic artery at hilum is intact. moderate hemorrhagic free fluid surrounding the liver, spleen and in the midpelvis. no acute fractures. no other traumatic pathology within the chest, abdomen or pelvis. ct c-spine: no acute fracture, malalignment or prevertebral soft tissue swelling. loss of the usual cervical lordosis -straightened c-spine. mild rightward scoliosis. moderate degenerative changes most severe at c5-c6. ct head: no acute process 04:53am blood wbc-10.1 rbc-3.70* hgb-11.7* hct-34.3* mcv-93 mch-31.6 mchc-34.1 rdw-12.7 plt ct-185 03:45pm blood hct-37.5* 03:05am blood wbc-9.7 rbc-4.09* hgb-12.9* hct-37.5* mcv-92 mch-31.6 mchc-34.5 rdw-13.5 plt ct-193 08:34pm blood wbc-9.0 rbc-4.05* hgb-12.7* hct-37.2* mcv-92 mch-31.4 mchc-34.2 rdw-13.4 plt ct-212 02:30pm blood wbc-8.1 rbc-4.00* hgb-12.5* hct-36.7* mcv-92 mch-31.4 mchc-34.2 rdw-13.9 plt ct-192 09:15am blood wbc-10.7 rbc-4.03* hgb-12.9* hct-37.1* mcv-92 mch-32.0 mchc-34.7 rdw-13.9 plt ct-203 02:26am blood wbc-10.7 rbc-3.95* hgb-12.4* hct-36.7* mcv-93 mch-31.5 mchc-33.9 rdw-13.4 plt ct-212 10:45pm blood wbc-14.6* rbc-3.47* hgb-11.6* hct-33.0* mcv-95 mch-33.3* mchc-35.0 rdw-11.3 plt ct-214 brief hospital course: his icu course as follows as dictated by pgy2 surgery resident: : ir: angiogram, right hepatic artery angiogram -- no active extrav --> performed prophylactic gel foam injection to right lobe of liver; admitted to tsicu, post-procedure stable : hct stable. diet advanced and tolerated. pca changed to morphine with good results. started hydralazine for sbp>170s. : start norvasc 5mg po daily. hematocrit and hemodynamics stable, transferred to the floor his floor course as followed: once transferred to the floor he continued to progress. his hematocrits were followed closely and remained stable. hemodynamically his vital signs were also stable - although despite the norvasc his blood pressures remained slightly elevated. upon further discussion with patient he reported that he had previously been prescribed lisinopril 5 mg daily by his pcp but stopped taking it some months ago when the prescription ran out. it was discussed with patient that he would be given a new prescription for this with refills upon discharge but that he should follow up with his primary care doctor within the next couple of weeks. his pain medications were changed to oral form and his pain control was adequate with this regimen. he is being discharged to home on hd#3 and will follow up in acute care clinic in weeks and with his pcp for ongoing management of his blood pressure. medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 2. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 4. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*30 tablet(s)* refills:*0* 5. lisinopril 5 mg 1 tab po daily discharge disposition: home discharge diagnosis: s/p fall off horse liver laceration through left lobe (segment iii) acute blood loss anemia secondary diagnosis: hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after a trauma where you sustained injury to your liver requiring that you undergo a procedure to stop the bleeding in the ateries within the liver. you were monitored closely in the intensive care unit where your blood counts were followed to insure that there was no further bleeding. as your blood counts stabilized you were transferredto the regular surgical unit. go to the nearest emergency room immediately if you suddenly become dizzy, lightheaded as if going to pass out. these can be signs of internal bleding and will require prompt evaluation. avoid any contact sports of any kind for the next 8 weeks as this can cause re-injury and bleeding to your liver. you may resume your usual home medications as prescribed. if you are taking narcotics for pain control do not take other narcotics along with these, avoid alcohol and/or other illicit drugs while taking these medications. it is also advisable that you do not drive while taking narcotics. followup instructions: department: general surgery/ when: tuesday at 2:00 pm with: acute care clinic building: lm bldg () campus: west best parking: garage follow up with your primary care doctor in the next 2-3 weeks for a general physical. you will need to call for an appointment. procedure: arteriography of other intra-abdominal arteries other endovascular procedures on other vessels diagnoses: acute posthemorrhagic anemia hypotension, unspecified injury to liver without mention of open wound into cavity laceration, unspecified accident involving animal being ridden injuring rider of animal injury to hepatic artery 

Answer: The patient is high likely exposed to