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: previous name for this infant was . the patient had been adopted and the last name was changed to . this infant was born at 29 and 1/7 weeks gestation and admitted to the nicu with prematurity and respiratory distress. the infant was born weighing 1315 grams, the product of a 29 and week gestation pregnancy born to a 36- year-old g10, p2, now 3 mother with an of . prenatal labs included blood type o positive, antibody negative, hbsag was initially unknown, then returned back as negative. rubella immune, rpr nonreactive, gbs unknown. maternal history is notable for reconstructive bladder surgery in childhood and head injury several years ago with resultant epilepsy and memory loss. maternal obstetrical history was notable for 1 term delivery and 1 preterm delivery at 33 weeks gestation. tab x3 and sab x4. this pregnancy was uncomplicated until the night prior to delivery when the mother developed vaginal bleeding and preterm contractions. she presented to and was subsequently transferred to . ultrasound revealed reassuring fetal status with a biophysical profile of 8 out of 8 and an estimated fetal weight in the 50th percentile. placenta previa was noted. the mother was begun on magnesium sulfate and given a single dose of betamethasone approximately 12 hours prior to delivery. the mother continued to have vaginal bleeding which prompted a cesarean section delivery. the fetal heart rate remained reassuring throughout. membranes were intact at delivery. there was no maternal fever and the mother did not receive interpartum antibiotics. the family lives in and this infant is being placed for adoption. the adoptive family has been identified in the area. maternal serum and toxicology screen on admission were negative. at delivery the infant emerged with moderate tone and weak cry. heart rate was 60 to 80 beats per minute after initial drying and warming. ppv was begun with gradual improvement in color, tone and heart rate. by 5 minutes the infant was pink and vigorous on blow-by oxygen. he was brought to the nicu after being shown to the mother. in the nicu there was moderate respiratory distress and the infant was intubated and given surfactant. physical examination: birth weight of 1315 grams, which is 50th to 75th percentile; head circumference 27.5 cm, which is 50th to 75th percentile; length of 38 cm, which is 50th percentile. he was warm and dry premature infant, active with examination, comfortable on simv ventilator. heent: fontanel soft and flat. ears and nares patent. eyes open. palate intact. neck: supple. no lesions. chest: coarse, moderately aerated with spontaneous breaths and well aerated mechanical breath. cardiac: normal rate and rhythm. no murmur. femoral pulses 2+. abdomen: soft. no hepatosplenomegaly. no masses. three-vessel cord. quiet bowel sounds. genitourinary: normal male. right testis palpable. left testis not palpable at this time. anus patent. extremities: hips and back normal. no lesions. skin: warm and dry. pink. no rash. neurologic: appropriate tone and activity for gestational age. intact moro. summary of hospital course by systems: respiratory: the infant presented with respiratory distress syndrome of prematurity and received an initial dose of surfactant. he weaned from conventional ventilation and was extubated on day 1 of life after initiation of caffeine citrate for apnea of prematurity. the infant extubated to cpap and remained on cpap until , day of life 15 when he subsequently weaned to nasal cannula oxygen. he remained on nasal cannula oxygen for 2 days and then weaned to room air. he remains on room air at this time. he does continue to have spells approximately 1 to 5 per day. he remained on caffeine citrate pg and otherwise has been stable on room air. cardiovascular: the infant received two normal saline boluses for hypotension on the newborn day. he developed a murmur shortly after birth and received an echocardiogram on , which was day of life 4 and was found to have a large patent ductus arteriosus at that time. he received indomethacin therapy at which time he continued with a murmur at the end of this initial course of indomethacin therapy. he received a second course of indomethacin therapy on . the murmur was intermittently audible after that. repeat echocardiograms done on , and , all showed no residual patent ductus arteriosus. the murmur was felt to be pps in nature at that time. the infant has maintained normal heart rate and blood pressures consistently after the initial hypotension on the newborn day. fluids, electrolytes and nutrition: iv fluids were initiated on the newborn day by uac and uvc which were placed. parenteral nutrition was initiated within the first 24 hours of life. the infant remained npo due to treatment for patent ductus arteriosus with indocin. a central picc line was placed on . at that time the uvc was discontinued. the uac was discontinued after the first 24 hours of life when the infant extubated from conventional ventilation to cpap. enteral feedings were initiated on , and slowly advanced. the infant achieved full enteral feeding on , day of life 14. the calories were further concentrated at that time to a maximum caloric density of 30 calories per ounce. the infant is presently on special care 30 calories per ounce at 150 ml per kg per day. all pg feeds at this time. the infant was started on iron and vitamin e on , day of life 18. he remains on iron and vitamin e at this time. most recent weight is 1630 grams. he showed steady weight gain over the past 2 weeks. most recent head circumference was done on , which was 28 cm. his length at that time was 42 cm. his weight is 1695 grams. gastrointestinal: the infant developed hyperbilirubinemia with a peak bilirubin level of 6.9/0.4 on . the infant received a total of 7 days of phototherapy. this is now a resolved issue. hematology: the infant's hematocrit at birth was 40.3 with a platelet count of 104. the infant at 24 hours of age had a hematocrit of 37.5 with a platelet count of 152. the infant's blood type is o positive, dat negative. the infant received a single blood product transfusion on , of 20 cc per kg of packed red blood cells for hematocrit at that time of 26.9. there have been no further hematocrits measured. the infant has received no other blood product transfusions. infectious disease: cbc and blood culture were screened on admission. the infant had a white blood cell count of 4.8 thousand with 25 poly's, and no bands, 69 lymphs. at 24 hours of age the cbc showed white count of 7.1 thousand with 40 poly's and 0 bands. the infant received 48 hours of ampicillin and gentamycin which was subsequently discontinued when the blood culture remained negative at 48 hours of life. at the time of birth mother's prenatal screen was not available. the infant did receive hbig on the newborn day. it was later revealed that the mother hepatitis b surface antigen was negative. there have been no further issues with sepsis. neurology: the infant had received a head ultrasound on , which was normal. the infant is due to head ultrasound at 1 month of age. sensory: this infant has not had the initial automated auditory brain stem response test. test is recommended prior to discharge. ophthalmology: the infant had his first ophthalmologic examination on , which showed left eye immature to zone 2, right eye was not fully dilated for evaluation at that time. recommended for repeat eye examination the week of . psychosocial: social worker has been involved with the family. her name is . she can be reached at . of significance psychosocial history is this infant was adopted by and on , through the adoption agency of adoptions. the contact person from adoptions is and she can be reached at . the adoptive parents have all legal rights at this time. this adoption agency, adoptions' address is in , . telephone no. . parents have legal right for consent. the infant's name is now presently legally changed to from . condition on discharge: fair. discharge disposition: transferred to level 3 nursery. name of primary pediatrician: unidentified at this time. care recommendations: 1. feeds at 150 ml per kg per day of special care 30 pg q.4 hours. the infant has been tolerating this over an hour and half infusion. 2. medications: vitamin e 5 units per day, caffeine citrate 10 mg pg once daily, ferrous sulfate 0.15 ml pg daily. 3. car seat position screening is recommended prior to discharge from the hospital. 4. state newborn screens were sent on , and . the state newborn screen on , showed some out of range numbers, all of which were felt to be related to hyperalimentation administration at that time. there is a repeat state screen that was sent on , and results are pending. 5. immunizations received: the infant received hbig on , and the hepatitis b vaccine on , as well. 6. immunizations recommended: 7. synagis rsv prophylaxis should be considered from through for infants who meet any of the following three criteria. 1. born at less than 32 weeks. 2. born between 32 and 35 weeks with two of the following: 8. daycare during the rsv season. 9. a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings. 10. with chronic lung disease. 1. 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 should be scheduled with the pediatrician after discharge. discharge diagnoses: 1. prematurity, born at 29 and 1/7 weeks gestation. 2. appropriate for gestational age infant. 3. respiratory distress syndrome, resolved. 4. hyperbilirubinemia, resolved. 5. sepsis ruled out. 6. patent ductus arteriosus, treated. 7. apnea of prematurity, ongoing. , 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 arterial catheterization other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells umbilical vein catheterization diagnoses: single liveborn, born in hospital, delivered by cesarean section need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia patent ductus arteriosus anemia of prematurity other preterm infants, 1,250-1,499 grams 29-30 completed weeks of gestation stenosis of pulmonary valve, congenital late metabolic acidosis of newborn 

Answer: The patient is high likely exposed to