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: adefovir attending: chief complaint: esrd major surgical or invasive procedure: liver history of present illness: 58yo male presenting for admission pre-operatively for an orthotopic liver on . his recent health has been complicated by multiple episodes of hepatic encephalopathy, portal venous thrombosis, esophageal varices, ascites, portal htn requiring admission. notably, the patient has a left thyroid nodule that was biopsied and suggestive of papillary carcinoma being followed by dr (please refer to his omr notes for details) and a cardiac evaluation in , that cleared him for potential liver transplantation. past medical history: 1. dm-insulin dependent -> very labile in setting of esld and followed at with recent fsg's varrying from 2 to 300. 2. esld awaiting : hep b, hepatic encephalopathy and recurrent ascites, esophageal varices (grade iii ),portal hypertension and known portal vein thrombosis not on anticoagulation. 3. history of tuberculosis s/p 6 months inh 4. gerd 5. htn 6. history of e. coli septicemia in 7. hx of acute renal failure thought hepsera in 8. grade iii esophageal varices- 10. hx seizures 11. hx osteoperosis based on low bone density d/t gsw l-forearm and bullet in lung from war 12. s/p inguinal hernia repair (3x left, 2x right) 13. liver 14. exploratory laparotomy, revision of hepatic artery anastomosis x2. liver biopsy. social history: he and his wife own a hair salon. they live in and have 4 children. he does not smoke, drink, or use illicit drugs. family history: no family history of hepatocellular carcinoma or cirrhosis. 4 adult children, all in good health. physical exam: 97.7 77 118/70 20 100ra general - aox3, nad heent - normocephalic, atraumatic, trachea midline cv - rrr, s1/s2 noted, no r/m/g appreciated chest - ctab abdomen - soft, nontender, nondistended, normal bowel sounds in pitch and frequency; bilateral well-healed lower abdominal surgical incisions gu - deferred ext - skin intact, ble 1+ pitting edema; left forearm well healed surgical incision labs: na-132, k-3.7, cl-98, hco3-31, bun-16, cr-1.2, glc-280 ca-8.3, mg-2.0, p-2.9 wbc-2.3, hct-27.2, plt-21 pt-17.5, ptt-36.7, inr-1.6, fibrinogen-150 ua - leuk: sm, rbc>50, nitr: neg, bact: occ, glu: 1000, prot: 25 cxr: pending final read pertinent results: 11:32am blood wbc-3.7* rbc-3.05* hgb-9.7* hct-29.0* mcv-95 mch-31.6 mchc-33.3 rdw-20.4* plt ct-21* 05:55am blood pt-12.6 ptt-25.1 inr(pt)-1.1 05:55am blood glucose-64* urean-35* creat-1.3* na-135 k-4.8 cl-102 hco3-28 angap-10 05:55am blood alt-224* ast-67* alkphos-86 totbili-3.8* 05:55am blood calcium-8.2* phos-3.7 mg-1.7 05:55am blood hbsag-negative hbsab-positive 11:32am blood tacrofk-11.3 brief hospital course: on , he underwent orthotopic liver for chronic hepatitis b infection that had resulted in end-stage liver disease, encephalopathy, and 2 hepatic lesions suspicious for hcc. surgeon was dr. . induction immunosuppression was given as well as hbig that was given during the anhepatic phase. per the operative report, the arterial anastomosis was donor common hepatic artery to recipient common hepatic artery anastomosis created end-to- end fashion with several areas that required repair sutures for hemostasis after unclamping. once complete, the liver reperfused well. two drains were placed, one posterior to the right lobe and one behind the portal anastomoses. a piece of surginet was left in the retroperitoneal space behind the right lobe of the liver. please refer to operative note for complete details. postop, he was transferred to the sicu for management. on postop day 1, liver duplex demonstrated patent hepatic vasculature with normal portal and venous waveforms. there were low left hepatic arterial resistive indices and borderline right hepatic arterial resistive indices with normal main hepatic arterial indices. a right hepatic subcapsular hematoma was noted measuring 3.6 x 2.4 cm. lfts increased and a repeat duplex was done on showing patent venous vasculature. the hepatic artery was patent with low resistive indices, decreased in the main hepatic artery. there was normal upstroke in the main hepatic artery with delayed and blunted upstroke in the left and right hepatic artery, and high diastolic flow. this raised concern for anastamotic stenosis. the main portal vein velocity was much higher than intrahepatic portal velocities,raising concern for of a portal vein stenosis. lfts further increased. given elevated lfts and duplex studies, a cta was done to evaluate the vasculature. this showed compromised arterial flow to the liver due to arterial stenosis. given these findings, he was taken back to the or on by dr. for exploratory laparotomy, revision of hepatic artery anastomosis x2 and liver biopsy. postop, he returned to the sicu where he was extubated. lfts trended down. he received a total of 5 days of hbig for h/o hbv. hepatitis b antibody titers were positive and the hbsag remained negative. he received hbig again on postop day 7 per protocol. he was transferred out of the sicu to the med- unit on postop day 4 where his diet was gradually advanced and tolerated. he had required an insulin drip for hyperglycemia due to steroids. was consulted and nph insulin with sliding scale was switched to improve glucose control. bowel function was sluggish and he required dulcolax suppositories to help him move his bowels. jp drain outputs were non-bilious. both were removed by the time he was discharged to home. he did fair with medication teaching despite having a vietnamese interpreter during teaching sessions. vna services were arranged with suburban nursing. immunosuppression consisted on cellcept 1gram which was well tolerated. steroids that were tapered to 20mg daily per protocol and prograf. prograf was started on and was adjusted by trough levels to 1mg . insulin was switched back to the patients home regimen of 75/25 qam and pre supper on the day of to facilitate home management given h/o hypoglycemic episodes with insulin. he was ambulatory with stable vital signs at time of to home. medications on admission: entecavir - 0.5 mg tablet - 1 tablet(s) by mouth once a day ergocalciferol (vitamin d2) - 50,000 unit capsule - 1 capsule(s) by mouth once weekly for 8 weeks and then every other week thereafter furosemide - 20 mg tablet - 1 tablet(s) by mouth once a day insulin lispro protam & lispro - (dose adjustment - no new rx) - 100 unit/ml (75-25) insulin pen - 64 in the morning and 36 at night each day insulin lispro - (prescribed by other provider) - 100 unit/ml insulin pen - as per sliding scale lactulose - 10 gram/15 ml solution - 30cc by mouth tid lisinopril - (record) - 5 mg tablet - 1 tablet(s) by mouth daily nadolol - 20 mg tablet - 1 tablet(s) by mouth daily omeprazole - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth once a day rifaximin - 200 mg tablet - 2 (two) tablet(s) by mouth 3 times a day spironolactone - 25 mg tablet - 1 tablet(s) by mouth once a day tramadol - (record) - 50 mg tablet - 1 tablet(s) by mouth once daily as needed for headache medications - otc blood sugar diagnostic - strip - use one four times per day calcium carbonate-vitamin d3 - 500 mg (1,250 mg)-400 unit tablet, chewable - 1 tablet(s) by mouth twice a day cholecalciferol (vitamin d3) - (prescribed by other provider) - 400 unit tablet - two tablet(s) by mouth daily insulin needles (disposable) - 31 gauge needle - 1 needle(s) twice a day for use with humalog 75/25 kwikpen magnesium oxide - 400 mg tablet - 1 tablet(s) by mouth twice a day allergies: adefovir medications: 1. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 2. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) ml po daily (daily). 3. prednisone 5 mg tablet sig: four (4) tablet po daily (daily): taper per schedule. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 6. valganciclovir 450 mg tablet sig: one (1) tablet po daily (daily). 7. entecavir 0.5 mg tablet sig: one (1) tablet po daily (daily). 8. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 9. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 11. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 12. tacrolimus 1 mg capsule sig: one (1) capsule po q12h (every 12 hours). 13. 75/25 sig: thirty four (34) units every morning: insulin subcutaneous injection. 14. 75/25 sig: twenty four (24) units pre-supper: insulin subcutaneous injection. 15. vitamin d 50,000 unit capsule sig: one (1) capsule po every other week. 16. hepatitis b immune globulin per protocol you will receive this per protocol schedule in clinic disposition: home with service facility: , diagnosis: hbv dm s/p liver arterial anastomosis stenosis, repaired condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. instructions: please call the office if you have any of the warning signs listed below you will need to come back to lab every monday and thursday am for labs you may shower no heavy lifting/straining followup instructions: provider: , md phone: date/time: 1:10 provider: , social work date/time: 2:00 provider: , md phone: date/time: 3:10 procedure: other revision of vascular procedure closed (percutaneous) [needle] biopsy of liver other transplant of liver injection or infusion of immunoglobulin total hepatectomy diagnoses: thrombocytopenia, unspecified esophageal reflux cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension long-term (current) use of insulin osteoporosis, unspecified other complications due to other vascular device, implant, and graft personal history of venous thrombosis and embolism other ascites esophageal varices in diseases classified elsewhere, without mention of bleeding surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation malignant neoplasm of liver, not specified as primary or secondary portal vein thrombosis chronic viral hepatitis b with hepatic coma without hepatitis delta malignant neoplasm of thyroid gland 

Answer: The patient is high likely exposed to