A 23-year-old intravenous drug user is hospitalized with fever and fatigue.

You obtain the

following dynamics of serologic markers in this patient (see the graph below).

This patient most likely:

A. Had acute hepatitis B and successfully recovered
B. Had an exacerbation of preexisting hepatitis B
C. Had acute hepatitis B that progressed to chronic hepatitis with low infectivity
D. Had acute hepatitis B that progressed to chronic hepatitis with high infectivity
E. Was vaccinated against HBV during the hospitalization