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: born at 30 wk ga, bw 1655 gm to a 28-year-old gravida 2, para 2 now 3 woman. prenatal screenings: bld type a pos, ab neg, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status unknown. by first trimester ultrasound.fetus noted to have bilateral choroid plexus cysts on early scan, followup scan reported as negative. mat pmh: mild hyperthyroidism ( not treated), asthma (rx albuterol mdi) mat ob hx: admitted to hospital (2 days) prior to delivery due to premature rupture of membranes, preterm labor and vaginal bleeding with suspected placental abruption. biophysical profile was . fetus in breech presentation. mother was transferred . she received betamethasone and antibiotics. mat urine toxicology screen was positive for both cocaine and marijuana. delivery by cesarean section for persistent vaginal bleeding and breech presentation. baby: good tone at birth, large amounts of bloody secretions and clots were suctioned from the oropharynx and stomach. apgars were 7 at 1 minute and 8 at 5 minutes. was admitted to the neonatal intensive care unit for treatment of prematurity. adm is nicu: anthropometric measurements: birth weight= 1,665 gm, 75th% length 40.5 cm, (50th- 75th%) head circumference 30 cm (75th%) discharge physical exam (, day 9): weight 1,530 gm length 41 cm head circ= 29 cm. general: no distress, preterm male, stable in room air. skin warm and dry. color pink. mildly jaundiced. head/ears/eyes/nose/throat: anterior fontanel open and flat. sutures approximated. normal facies. eyes: red reflex bilat. remainder of heent wnl. chest: breath sounds clear and equal, easy respirations. cardiovascular: soft systolic murmur audible at the left upper sternal border with radiation to the axilla. normal s1 and s2. femoral pulses +2. abdomen: soft, nontender, nondistended. no masses. gu: normal preterm male. testes descended. extremities: straight, moving all well. neurologic: tone and reflexes appropriate and consistent with gestational age. hospital course by systems including pertinent laboratory data: 1. respiratory. this baby has been in room air since admission to the neonatal intensive care unit. he required treatment for apnea prematurity with caffeine. at the time of discharge he is breathing comfortably with a respiratory rate of 40 to 70 breaths per minute, maintaining oxygen saturations greater than 94% in room air. he remains on caffeine. 2. cardiovascular. this baby required a normal saline bolus upon admission to the neonatal intensive care unit for poor perfusion. since that time he has maintained normal heart rates and blood pressures. a soft systolic murmur was noted on day of life #8 and is audible at the time of discharge. cv status is hemodynamically stable. an echocardiogram was not obtained. baseline heart rate is 150 to 170 bpm, bp 61/37 mmhg, mean bp 45 mmhg. 3. fluids, electrolytes, nutrition. this baby was initially n.p.o. and treated with intravenous fluids via an umbilical venous catheter. enteral feeds were started on day of life #1 and gradually advanced to full volume. at the day of discharge he is taking 150 ml/kg per day of premature enfamil with calorie formula, 20 calories per ounce. all his feedings are by gavage. serum electrolytes were checked in the first week of life and were notable only for low total carbon dioxide, for which he was treated with sodium bicarbonate. most recent set of electrolytes was on with a serum sodium of 135, potassium 5.9, chloride 107 and a total carbon dioxide of 17. weight on the day of discharge is 1.530 kg. 4. infectious disease due to the prolonged rupture of membranes and his prematurity. this baby was evaluated for sepsis upon admission to the neonatal intensive care unit. a complete blood count and white blood cell count differential were within normal limits. a blood culture was obtained prior to starting intravenous ampicillin and gentamicin. the blood culture was no growth at 48 hours and the antibiotics were discontinued. 5. hematological. hematocrit at birth was 46.3%. this baby did not require any transfusions of blood products. 6. gastrointestinal. this baby required treatment for unconjugated hyperbilirubinemia with phototherapy. peak serum bilirubin occurred on day of life 1, total 7.4 mg/dl. he received approximately 4 days of phototherapy. his most recently done bilirubin was on , total 6.7 mg/dl and that is without change from the value obtained on . 7. neurology. a meconium toxicology was positive for cocaine metabolites. 8. hus and were both wnl. neurobehavior appropriate for ga during nicu adm. 9. sensory, audiology. hearing screening to be obtained at hospital nicu prior to discharge home.. 10. ophthalmology. eyes not examined. infant due for first exam at 3 weeks of age. 10.psychosocial. mother + urine toxicology screen for cocaine and marijuana. mother denied use of illegal substances and that she was exposed to cocaine and marijuana at party where others were smoking. mother has 2 other children, a 12-year-old son in full custody of the child's father and her 10-year-old daughter lives with her mother. a 51a has been filed against the mother for this infant (). social worker involved with this family is (phone (). condition on discharge: good. discharge disposition: transfer to hospital for continuing level ii care. primary pediatrician not identified. care and recommendations at the time of discharge: 1. feeding. premature enfamil formula 20 calories per ounce at 150 ml/kg per day by gavage. 2. medications. caffeine citrate daily. 3. iron and vitamin d supplementation: a. iron supplementation is recommended for preterm and low birthweight infants until 12 months corrected age. b. all infants that predominantly breast milk should receive vitamin d supplementation at 200 iu ( maybe provided as a multivitamin preparation) daily until 12 months corrected age. 4. car seat position screenings. recommended prior to discharge. 5. state newborn screen was sent on . the amino acid levels were out of range, consistent with the baby receiving total parenteral nutrition at that time. a repeat screen was sent on off total parenteral nutrition with results pending. 6. immunizations. this infant has not yet received any immunizations. 7. immunizations recommended. a. synagis r, s, v prophylaxis should be considered for thru for infants that meet any of the following 4 criteria: born at less than 32 weeks; second born between 32 and 35 weeks with 2 of the following: dates are during r, s, v season, a smoker in the household, neuromuscular disease, airway abnormalities or school age siblings; third chronic lung disease; or fourth hemodynamically significant congenital heart disease. influenza immunization is recommended annually in the fall for all infants once baby reaches 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. this infant has not received rotavirus vaccine. the american academy of pediatrics recommends initial vaccination of preterm infants at or following discharge from the hospital if they are clinically stable and at least 6 weeks, but fewer than 12 weeks of age. final discharge diagnoses: 1. prematurity at 30 weeks gestation. 2. suspicion for sepsis, ruled out. 3. in utero cocaine exposure. 4. apnea prematurity. 5. unconjugated hyperbilirubinemia. , md procedure: other phototherapy diagnoses: single liveborn, born in hospital, delivered by cesarean section observation for suspected infectious condition neonatal jaundice associated with preterm delivery primary apnea of newborn other preterm infants, 1,500-1,749 grams 29-30 completed weeks of gestation unspecified noxious substance affecting fetus or newborn via placenta or breast milk 

Answer: The patient is high likely exposed to