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: history of present illness: to be known as after discharge is the former 1.36 kg product of a 29 and 1/7 weeks gestation pregnancy born to a 33-year-old g3, p1, now 2 woman. prenatal screens - blood type o positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep negative. the mother's obstetrical history was notable for a delivery at 26 weeks. with this pregnancy she experienced shortened cervix and was treated with progesterone and bed rest from 18 weeks. premature rupture of membranes occurred on . she was treated with betamethasone, ampicillin and erythromycin. on , she had onset of labor and was allowed to progress to spontaneous vaginal delivery. the infant emerged with spontaneous respirations. apgars were 8 at 1 minute and 8 at 5 minutes. he was admitted to the neonatal intensive care unit for treatment of prematurity. physical examination: physical examination upon admission to the neonatal intensive care unit: weight 1.36 kg, 75th percentile; length 39 cm, 50th percentile; head circumference 27.5 cm, 50th percentile. general: alert, pink, well appearing, appropriate for gestational age 29 week infant. head, ears, eyes, nose and throat: anterior fontanel soft and flat. sutures mobile. molding present. eyes: with normal red reflex bilaterally and remnant pupillary membrane. palate intact. chest: breath sounds equal, clear, improved air entry in the bases after intubation. cardiovascular: normal s1 and s2. no murmur. well perfused. normal pulses. abdomen soft. no distention. no organomegaly. genitourinary: appropriate for gestational age male. musculoskeletal: hips stable. normal sacrum. neurologic: tone normal and symmetrical movements of all extremities. hospital course by systems including pertinent laboratory data: respiratory: was treated with 2 doses of surfactant. he was extubated to continue his positive airway pressure on day of life 2 and day of life 3 weaned to room air. he remained in room air for the rest of his neonatal intensive care unit admission. he was treated for apnea of prematurity with caffeine. caffeine was discontinued on . his last episode of spontaneous apnea and bradycardia occurred on . at the time of discharge he is breathing comfortably in room air with a respiratory rate of 30 to 60 breaths per minute. cardiovascular: has maintained normal heart rates and blood pressures. he had a soft murmur noted and had an echocardiogram performed on . this study showed a very small patent ductus arteriosus with left to right flow. he persisted with a soft cardiac murmur and had a follow up echo performed on , which showed no significant patent ductus arteriosus but there was a small vessel arising from the descending thoracic aorta with continuous low velocity flow. the vessel did not appear to connect with the main pulmonary artery and was thought to be likely an aortopulmonary collateral or bronchial artery rather than a patent ductus arteriosus. cardiology follow up is recommended as an outpatient in 2 to 3 months. at the time of discharge he has a soft systolic murmur audible at the left sternal border. his baseline heart rate is 140 to 170 beats per minute. recent blood pressure is 85/37 mm of hg with a mean arterial pressure of 54 mm of hg. fluids, electrolytes and nutrition: initially was npo and treated with intravenous fluids. enteral feeds were started on day of life 2 and gradually advanced to full volume. on day of life 19, he experienced some fullness of his abdomen with a reddened periumbilical area. serial abdominal films were obtained and had a concerning bowel gas pattern. due to concern for possible evolving necrotizing enterocolitis he was treated with 14 days of bowel rest and antibiotics, vancomycin, gentamycin and clindamycin. his feedings were reinitiated and were well tolerated. he began to have some small traces of occult blood in his stool and was changed from human milk fortified with powder. at the time of discharge he is taking ad lib amounts of expressed breast milk without additional additive. his intake is approximately 160 to 200 ml per kg per day. weight at the time of discharge is 3.51 kg with a corresponding length of 50 cm and head circumference of 35 cm. serum electrolytes were checked at numerous junctures throughout his neonatal intensive care unit admission and results were within normal limits. if mother runs out of breast milk, should be given. infectious disease: due to prolonged rupture of membranes at the time of delivery, was evaluated for sepsis at the time of admission to the neonatal intensive care unit. a complete blood count was within normal limits. blood culture was obtained prior to starting intravenous ampicillin and gentamycin. the blood culture showed no growth at 48 hours and the antibiotics were discontinued. as previously noted with his episode of suspected necrotizing enterocolitis he was again treated for 14 days with vancomycin, gentamycin and clindamycin. all cultures at that time showed no growth. on , with onset of increasing episodes of oxygen desaturation and fever to 101 degrees, a blood culture was obtained and grew gram negative rods, later identified as escherichia coli. the escherichia coli strain was also recovered from his urine. he was treated with a 10-day course of initially gentamicin (7 days) and then cefotaxime for a total of 10 days from the negative culture. will remain on urinary tract infection prophylaxis with suprax 7 mg po once daily. a renal ultrasound was performed and was within normal limits but did show thickened bladder wall. a voiding cystourethrogram is recommended 4 to 6 weeks after discharge (to be arranged by the primary care pediatrician) hematological: is blood type o positive. his hematocrit at birth was 43%. on day of life 35, his hematocrit was noted to be 24%. repeat hematocrit one week later was 23.5% with reticulocyte count of only 3.7% and he was electively transfused with packed red blood cells. on , his hematocrit was 25.5% and again he received a transfusion of packed red blood cells. his most recent hematocrit on was 39.5%. gastrointestinal: was treated with phototherapy for unconjugated hyperbilirubinemia in the first week of life. his final rebound bilirubin on day of life 10 was a total of 3.9 mg per dl. as previously noted was treated for suspected necrotizing enterocolitis. he also had an umbilical hernia which is soft and easily reducible. neurological: a head ultrasound was performed on , and showed a right germinal matrix hemorrhage. repeat head ultrasound on , showed resolving germinal matrix hemorrhage. two further ultrasounds on and , have both been entirely within normal limits. has a normal neurological examination upon discharge and there are no neurological concerns at this time. sensory: audiology - hearing screening was performed automated auditory brain stem responses and passed in both ears initially. a repeat hearing screen referred both ears on (this had been repeated due to gentamicin course--all levels had been normal). ophthalmology: eyes were most recently examined screening for retinopathy of prematurity on . his retinas were mature at that time. a follow up ophthalmological examination is recommended at 9 months of age. psychosocial: 's name after discharge will be . parents have visited regularly during his admission in the neonatal intensive care unit. condition on discharge: good. discharge disposition: home with the parents. name of primary pediatrician: dr. , , , , . telephone no.: . care recommendations: 1. feedings, ad lib breast feeding or expressed breast milk. 2. medications: ferrous sulfate 0.4 ml po once daily. goldline baby vitamins 1 ml po once daily. suprax suspension 7 mg po q.h.s. 3. car seat position screening was performed. was observed in his car seat for 90 minutes without any episodes of bradycardia or oxygen desaturation. 4. state newborn screens were sent on , and , , and all results are within normal limits. 5. immunizations received: hepatitis b vaccine was administered on , pediarix on , , hiv and pneumococcal 7 valiant conjugate vaccines on , and synagis on . 6. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following three criteria. a) born at less than 32 weeks. b) born between 32 and 35 weeks with two of the following: 1. daycare during the rsv season. 2. a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings. 3. with chronic lung disease. influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age. before this age and for the first 24 months of the child's life, immunization against influenza is recommended for household contacts and out of home caregivers. follow up appointments recommended: 1. an appointment with dr. , primary pediatrician within 3 days of discharge. 2. pediatric cardiology in 2 to 3 months. 3. voiding cystourethrogram to be scheduled as an outpatient in 4 to 6 weeks by primary care pediatrician 4. pediatric ophthalmology at 9 months. discharge diagnoses: 1. prematurity at 29 and 1/7 weeks gestation. 2. respiratory distress syndrome, resolved 3. suspicion for sepsis at birth ruled out. 4. apnea of prematurity, resolved 5. anemia of prematurity 6. necrotizing enterocolitis, resolved 7. escherichia coli bacteremia and urinary tract infection, resolved and now on uti prophylaxis 8. cardiac murmur secondary to collateral or bronchial artery between the aorta and pulmonary artery. 9. unconjugated hyperbilirubinemia, resolved 10. umbilical hernia. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells umbilical vein catheterization diagnoses: urinary tract infection, site not specified need for prophylactic vaccination and inoculation against viral hepatitis single liveborn, born in hospital, delivered without mention of cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia patent ductus arteriosus anemia of prematurity other specified conditions originating in the perinatal period other preterm infants, 1,250-1,499 grams intraventricular hemorrhage, grade i 29-30 completed weeks of gestation umbilical hernia without mention of obstruction or gangrene bacteremia of newborn other specified anomalies of bladder and urethra 

Answer: The patient is high likely exposed to