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: baby boy was a 32 and - week gestation infant born by cesarean section to a 37-year- old gravida 4, now para 3 secondary to preterm labor and a past history of uterine rupture. prenatal laboratories: blood type b+, hepatitis b surface antigen positive, rpr nonreactive, rubella immune, gbs unknown. edc was . delivery: s pregnancy was uncomplicated until mom presented with uterine irritability and was started on magnesium and given a single dose of betamethasone. given the persistence of contractions, mom was delivered by cesarean section. rupture of membranes at delivery. no intrapartum antibiotics were given. the baby emerged with a spontaneous cry, required blow-by oxygen and routine care in the operating room. his apgar scores were 8 and 9. hospital course: in the nicu at he was stabilized, but had moderate respiratory distress; and he was intubated and treated with a single dose of surfactant. laboratory studies were taken. he was given hepatitis b immunoglobulin and hepatitis b vaccination. he was transferred to nicu due to lack of bed space at . he was then readmitted to on . his hospital course while an inpatient by systems is as follows: 1. respiratory: he was intubated and given a dose of surfactant and was extubated to cpap on day of life #2. he was weaned to room air the following day. he was loaded with caffeine secondary to apnea and bradycardia of prematurity, but his spells resolved and his caffeine was discontinued on . he continued to have some spells with feeding, but at the time of discharge had no apnea or bradycardia for 6 days. 1. cardiovascular: he was initially mildly hypotensive, requiring some normal saline boluses on admission followed by dopamine that reached a maximum of 5 mcg/kg/min. his dopamine was weaned and discontinued by day of life #2. since that time, he has been hemodynamically stable with normal blood pressures and perfusion. 1. fluids, electrolytes and nutrition: he was initially n.p.o. on iv fluids. his feedings were begun on day of life #3, and he advanced to full enteral feedings by day of life #7. his calories were gradually increased; and in the last 48 hours he has been transitioned back to enfamil 20 calories. he has been taking all p.o. volumes, meeting his minimum for over 4 days prior to discharge. he has had no significant electrolyte abnormalities and has had normal urine output. 1. gastrointestinal: he was on phototherapy beginning on days of life #2 to #3. his bilirubin peaked at 8.9 with a direct component of 0.4. his phototherapy was discontinued on day of life #6; and at that time he had a rebound of 4.5 with a direct component of 0.3. his bilirubin was checked again several days - on the - and it was a total of 2.9 with a direct component of 0.2. 1. hematologic: he did not require any blood products. he is on supplement iron. his most recent hematocrit on was 41% with platelets of 348,000. 1. infectious disease: he was placed on ampicillin and gentamicin after blood culture was obtained at the time of birth. his cbc was benign, and his blood culture was negative; so antibiotics were discontinued after 48 hours. 1. neurology: he had a head ultrasound performed while he was at on that was normal. 1. sensory/audiology: he passed his hearing screening. 2. rop screen: mature retina bilaterally. no rop. condition on discharge: good. discharge disposition: home. name of primary pediatrician: dr. , . care recommendations: 1. feeds: enfamil 20 kilocalories per ounce p.o. ad lib. 2. medications: iron. 3. he passed his car seat position screening. 4. his state newborn screen: he had 2 mildly abnormal newborn screens; one with a mildly elevated 17- hydroxyprogesterone that on repeat was normal and a mildly low thyroxine at 4.8 on that repeat screen; but he had a 4th newborn screen sent on which was entirely normal. 5. mild eye drainage on l:present for many days. no redness. continue with wet wipes to eye. contact pediatrician if purulence and/or redness occur. immunizations received: hepatitis b vaccination on ; hepatitis b immunoglobulin on ; second hepatitis b vaccination on . immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following 3 criteria: (1) born at less than 32 weeks; (2) born between 32 and 35 weeks with 2 of the following: daycare during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities, or school-age siblings; or (3) with chronic lung disease. influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age. before s 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 appointment scheduled/recommended: pediatrician visit on as scheduled. discharge diagnoses: prematurity at 32 and 2/7 weeks; respiratory distress syndrome; sepsis presumed; apnea of prematurity; hyperbilirubinemia; infant born to a mom with positive hepatitis b surface antigen; status post immunoglobulin and hepatitis b vaccinations. , md dictated by: medquist36 d: 08:46:32 t: 09:49:03 job#: procedure: enteral infusion of concentrated nutritional substances prophylactic administration of vaccine against other diseases diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis other disturbances of temperature regulation of newborn obstruction of nasolacrimal duct, neonatal 

Answer: The patient is high likely exposed to