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: is the former 27 and week gestation premature infant born to a 34 year- old, gravida ii, para i now ii mother. this is his second . he was transferred to on day of life #55 for a bowel resection. his initial perinatal history was significant for delivery by cesarean delivery secondary to maternal bleeding and concern for a placental abruption. mother was beta- complete at the time of delivery. prenatal screens were blood type a positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status unknown. the mother was delivered under general anesthesia. apgars were 2 at 1 minute, 6 at 5 minutes and 7 at 10 minutes. he was admitted to the nicu following elective intubation in the delivery room. physical examination: upon readmission to the nicu on , weight was 3 kg. general: active and vigorous, somewhat fussy but overall comfortable. near term infant. mild edema of the extremities and scrotum. skin: warm and dry, mildly jaundiced. heent: fontanel soft and flat. eyes slightly icteric. ears and nares normal. neck supple, no lesions. chest: coarse, well aerated, mild stridor, mild retractions. cardiovascular: regular rate and rhythm, no murmur. abdomen full, soft, active bowel sounds. surgical incision clean and dry. no masses. genitourinary: normal male. testes palpable bilaterally. mild edema. anus patent. extremities, hips and back normal. neuro: appropriate tone and activity, intact grasp, coordinated suck. hospital course: by systems including data from both and admissions: 1. respiratory: initially had respiratory distress syndrome and was treated with surfactant, conventional ventilation for 9 days and then c-pap for one month. he was then transitioned to nasal cannula. he was reintubated for the operating room on and was extubated on . he was treated for apnea of prematurity with caffeine. at the time of discharge, he is in room air, breathing comfortably with a respiratory rate of 30 to 60 breaths per minute. 2. cardiovascular: treated for a patent ductus arteriosus (pda) with indocin times one course. last echo with normal cardiac antomy and no pda. had mild hypotension following his surgery on that was treated with volume and renal dose dopamine. upon readmission to the , he had some transient hypertension with systolic blood pressures greater than 100. a renal ultrasound was performed and was normal. the hypertension was thought to be related to the onset of a narcotic abstinence syndrome which was treated with neonatal morphine. at the time of discharge, his baseline heart rate is 130 to 150 beats per minute with a recent blood pressure of 95/38 mmhg with a mean arterial pressure of 59 mmhg. no murmurs have been noted. 3. fluids, electrolytes and nutrition: initially was n.p.o. and transitioned to full volume enteral feeds. he had necrotizing enterocolitis diagnosed at 5 weeks of age, after presenting with bloody stools and pneumatosis by x-ray. he was treated with 14 days of bowel rest and intravenous zosyn. feedings were reinitiated after the period of bowel rest but he had almost immediate feeding intolerance with abdominal distention. a barium enema was performed on revealing a tight stricture in the transverse colon. he was also noted to have recurrence of pneumatosis at that time. he was transferred to and treated for an additional 14 days of antibiotics and bowel rest. he underwent an end-to-end anastomosis surgical repair on . enteral feeds were restarted on postoperative day number 7 and gradually advanced. at the time of transfer back to , he was on 30 ml per kg per day of breast milk. he was able to transition to full volume feedings and, at the time of discharge, is ad lib p.o. feeding or breast feeding. when p.o. feeding the expressed breast milk with 4 calories per ounce of similac powder is added. a broviac catheter was placed on and removed on . weight at the time of discharge is 3.355 kg which is 50th percentile for corrected post menstrual age of 41 weeks; length 50.5 cm; head circumference 35 cm. due to persistent hypoglycemia, infant had an evaluation for - performed with genetics consultation while he was at . no definitive results were returned and some studies are still outstanding. 4. infectious disease: as previously noted, received two 2 week courses of intravenous antibiotics in concert with treatment for necrotizing enterocolitis. he also was noted to have copious endotracheal secretions and was treated for presumed tracheitis with a trached aspirate culture positive for staphylococcal aureus. he received a 7 day course of unasyn ending on . 5. hematology: had a mild coagulopathy discovered on routine preoperative labs at . hematology was consulted. was treated with ffp and cryoprecipitate perioperatively with resolution of the coagulopathy. the suggested diagnosis was a coagulopathy attributed to chronic inflammation. most recent hematocrit on was 31% with a reticulocyte count of 2.9%. 6. gastrointestinal: as previously noted, had necrotizing enterocolitis requiring bowel resection for a stricture. his incision is healing well. also has a direct hyperbilirubinemia, likely related to tpn cholestasis. an abdominal ultrasound was within normal limits. his most recent liver function tests were obtained on with an alt of 232, ast of 176; total bilirubin 11.7 mg/dl; direct 8.4 mg/dl; indirect 3.3 mg/dl. will be followed by the pediatric surgery team at . his appointment is scheduled for . 7. neurology: had normal head ultrasounds on and . he was treated for narcotic abstinence syndrome with neonatal morphine from to . 8. sensory: audiology: hearing screening was performed with automated auditory brain stem responses. passed in both ears on . ophthalmology: has had mild retinopathy of prematurity with stage i disease in zone 2. most recent eye examination was on and showed immature retina in both eyes with the occurrence of the multiple capillary hemangiomas and a slightly exophthalmic examination. was re-examined by dr. who felt that there was no evidence of acute hemangioma in the ocular region. follow-up eye examination is due the week of . 9. integumentary: has had emergence of multiple capillary hemangiomas. at the time of discharge, there are 3 on his abdomen, 1 in the inguinal area, 1 on the right leg, 1 on the left lower lip. there is also a small, approximately pea-sized mass in the left lower mandibular area. an ultrasound was performed on with the opinion being that this is a lymph node. 10. psychosocial: social work has been involved with this family. the contact social worker is and she can be reached at . condition on discharge: good. discharge disposition: home with the parents. primary pediatrician: dr. , pediatrics, , , , , phone number . care and recommendations: at the time of discharge: 1. feeding ad lib breast feeding or p.o. feeding expressed breast milk, fortified to 24 calories per ounce with 4 calories of similac powder. 2. medications: a. ferrous sulfate 0.6 ml p.o. once daily, 25 mg per ml dilution. b. goldline baby vitamins or equivalent infant multi-vitamin supplement, 1 ml p.o. once daily. 3. car seat position screening was performed. was observed in his car seat for 90 minutes without any episodes of oxygen desaturation or bradycardia. 4. immunizations: hepatitis b vaccine on . synagis on . pediarix on . pneumococcal vaccine on . hemophilus influenza b vaccine on . 5. immunizations recommended: 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 weeks and 35 weeks with two of the following: day care during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities or school age siblings; (3) 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. 6. state newborn screens: - several amino acids out-of-range, repeat normal, final sent . 7. follow-up appointments scheduled or recommended: a. appointment with dr. , primary pediatrician, within 5 days of discharge. b. pediatric surgery at on . c. pediatric ophthalmology week of . discharge diagnoses: 1. prematurity at 27 and 1/7 weeks gestation. 2. status post respiratory distress syndrome. 3. status post chronic lung disease. 4. status post apnea of prematurity. 5. status post patent ductus arteriosus. 6. necrotizing enterocolitis. 7. status post bowel resection for colonic stricture. 8. status post staphylococcal aureus tracheitis. 9. direct hyperbilirubinemia. 10. retinopathy of prematurity. 11. multiple capillary hemangiomas. , procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances diagnoses: other specified conditions originating in the perinatal period retrolental fibroplasia neonatal hypoglycemia hemangioma of skin and subcutaneous tissue unspecified fetal and neonatal jaundice diaper or napkin rash acute tracheitis without mention of obstruction 

Answer: The patient is high likely exposed to