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: patient recorded as having no known allergies to drugs attending: chief complaint: intraoperative blood loss. i&d right hip tha major surgical or invasive procedure: intubation; attempted total hip replacement history of present illness: this 56 year male unilingual russian speaker w/ a hx of hep b/c, cirrhosis, hypersplenism and pancytopenia was taken to the or today for complex revision total right hip replacement because of debilitating right hip pain. the surgery was intended to be exploratory to see if there were any loose parts from previous surgeries that might be causing pain and could be removed. the patient's hip was opened and no such loose parts were found. orthopedics feels the patient is not a candidate for any further surgical intervention. the procedure could not be completed due to heavy bleeding from the surgical site in the context of platlets of 34 and an inr 1.6. he lost an estimated 4l of blood, but got most of this back as cell . he was also transfused 3 units prbc, 6 units ffp and 5 units of platlets. he remained hemodynamically stable throughout the or and never became hypoxic. vanc and ancef were given intra-op and a drain was placed in the operative site before closing the hip. post-op, he is admitted to for resuscitation and monitoring in the context of heavy bleeding intra-op. . on the floor, he is intubated and sedated w/ pressure wrappings over his right hip and a drain in place. he remained stable in the and was tranferred to the general orthopedic floor. remainder of his hospital stay was unremarkable. he progressed with pt and was discharged to home with services in stable condition. past medical history: -motor vehicle accident: failed orif acetabulum in requiring complex right total hip replacement in . -hep b serology pos, dna neg -hep c presumed transfusion after mva in . s/p 6mo interferon and ribavirin tx, but hep c recurred -liver cirrhosis: followed by gi. no focal lesions on u/s in -cholelithiasis, no acute cholecystitis -hypersplenism -pancytopenia: felt to be secondary to marrow suppression from hcv and hypersplenism, not considered a candidate for epo tx per report -s/p appendectomy -s/p right hand surgery -s/p left shoulder surgery social history: originally from . - tobacco: none per anesthesia report - alcohol: none per anesthesia report - illicits: none per anesthesia report family history: unknown physical exam: on arrival to icu, vitals: stable general: intubated and sedated heent: sclera anicteric. right eye with cataract. left pupil 1mm neck: supple, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, distended, bowel sounds present gu: foley draining clear fluid ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema. skin over feet is darker brown bilaterally. incision c/d/i skin: diffuse macular papular over shoulder, neck legs and abdomen. chest is spared. brief hospital course: 56 year male with hep b/c, cirrhosis, hypersplenism and pancytopenia s/p unsuccessful complex revision total right hip replacement today, now admitted to for resuscitation in the context of extensive intraoperative blood loss. # hemorrhage: patient had bleeding secondary to surgery with high intraop blood loss in context of thrombocytopenia and cirrhosis with elevated inr. he was transfused a total of 4 units prbcs, 5u of platelets, and 5u ffp, and was bolused with ivf to maintain hemodynamic stability. he remained intubated overnight after surgery while he was being bolused and transfused repeatedly but was extubated to 2l nc the following morning on without difficulty. dic labs were wnl, and platelets were 40-70s. . # post-op attemtpted total hip replacement: he received 2 g ancef q8h x 48h for infection ppx. as above, he intitially remained intubated overnight due to fluid shifts and was kept on ardsnet ventilation as pt at risk for trali. pain was treated with dilaudid pca when extubated. he spiked a fever to 100.7 on and was pan cultured but has been afebrile since . # - unclear etiology but resolved by following day. have been secondary to transfusion or anesthesia as he continued on abx without further reaction. . # cirrhosis - stable. management as above. gastroenterologist is dr. if questions arise. he progressed well with pt while on the general orthopedic floor and was stable for discharge to home with physical therapy. medications on admission: oxycodone-acetaminophen 5/325 mg 1 tab up to tid prn pain discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* discharge disposition: home with service facility: family & services discharge diagnosis: painful r tha discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: 1. please return to the emergency department or notify your physician if you experience any of the following: severe pain not relieved by medication, increased swelling, decreased sensation, difficulty with movement, fevers greater than 101.5, shaking chills, increasing redness or drainage from the incision site, chest pain, shortness of breath or any other concerns. 2. please follow up with your primary physician regarding this admission and any new medications and refills. 3. resume your home medications unless otherwise instructed. 4. you have been given medications for pain control. please do not drive, operate heavy machinery, or drink alcohol while taking these medications. as your pain decreases, take fewer tablets and increase the time between doses. this medication can cause constipation, so you should drink plenty of water daily and take a stool softener (such as colace) as needed to prevent this side effect. 5. you may not drive a car until cleared to do so by your surgeon or your primary physician. 6. please keep your wounds clean. you may shower starting five days after surgery, but no tub baths or swimming for at least four weeks. no dressing is needed if wound continues to be non-draining. any stitches or staples that need to be removed will be taken out by the visiting nurse or rehab facility two weeks after your surgery. 7. please call your surgeon's office to schedule or confirm your follow-up appointment in four weeks. 8. please do not take any non-steroidal anti-inflammatory medications (nsaids such as celebrex, ibuprofen, advil, aleve, motrin, etc). 9. wound care: please keep your incision clean and dry. it is okay to shower five days after surgery but no tub baths, swimming, or submerging your incision until after your four week checkup. please place a dry sterile dressing on the wound each day if there is drainage, otherwise leave it open to air. check wound regularly for signs of infection such as redness or thick yellow drainage. staples will be removed by the visiting nurse or rehab facility in two weeks. 10. vna (once at home): home pt/ot, dressing changes as instructed, wound checks, and staple removal at two weeks after surgery. 11. activity: weight bearing as tolerated on the operative extremity. no strenuous exercise or heavy lifting until follow up appointment. physical therapy: wbat rle post hip precautions treatments frequency: daily dressing changes as needed ice as tolerated wbat followup instructions: provider: , : date/time: 10:00 procedure: removal of implanted devices from bone, femur revision of hip replacement, not otherwise specified synovectomy, hip diagnoses: thrombocytopenia, unspecified cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia unspecified viral hepatitis c without hepatic coma hemorrhage complicating a procedure pain in joint, pelvic region and thigh calculus of gallbladder without mention of cholecystitis, without mention of obstruction accidents occurring in other specified places rash and other nonspecific skin eruption surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation accidents occurring in residential institution knee joint replacement viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta hypersplenism other complications due to internal joint prosthesis other disorders of synovium, tendon, and bursa 

Answer: The patient is high likely exposed to