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 delivered at 27-4/7 weeks gestation and was admitted to the newborn intensive care unit for management of prematurity and respiratory distress. history: the mother is a 25-year-old gravida 3 para 1 now 2 mother with estimated date of delivery . the mother's prenatal screens included blood type b positive, antibody screen negative, hepatitis b surface antigen negative, rubella immune, rpr nonreactive, and group b strep unknown. this pregnancy was complicated by a maternal lupus and pregnancy induced hypertension. on the day of delivery the mother was transferred from hospital with severe hypertension and a platelet count of 28,000. on admission here it was noted that the fetus' heart rate was dropping and an urgent c-section under general anesthesia was done. this infant emerged with apnea and a heart rate low of 50. he received positive pressure ventilation with a neopuff, chest compression, and was intubated. his apgar scores were 2 at one minute and 7 at five minutes. physical examination: on admission weight 813 grams (10-25th percentile), length 35.5 cm (25-50th percentile), head circumference 25 cm (25-50th percentile). normocephalic and atraumatic. anterior fontanelle open and flat. palate intact. red reflex present bilaterally. endotracheal tube taped in place. skin pink, pale. breath sounds clear with intercostal retractions. heart rate was regular rate and rhythm. no murmur. femoral pulses 2+. abdomen soft, no bowel sounds. no hepatomegaly. no masses. gu: normal preterm male. external testes not palpable. anus patent. spine midline. no dimple. hip stable. clavicle intact. decreased tone in upper and lower extremities. summary of hospital course by system: respiratory: was initially placed on conventional ventilation pressures of 24/5 with a rate of 30 around 40%. he received a total of 3 doses of surfactant. on day of life 2 he required hand bagging for several hours, was unable to stabilize him on the conventional ventilator or high frequency oscillatory ventilation at that time. we did try assist control, ventilation was pressures of 40/7, rate of 70, and 100% for several hours and he weaned down to pressures of 30/6 rate of 60. his oxygen requirement decreased to 21% to 25%. on day of life 3 he was converted over to high frequency oscillatory ventilation with mean airway of 15, delta p of 24 and 27%. he was changed to conventional ventilation on day of life 14 with pressures of 18/5, rate of 20, 26% to 30%. he was extubated to continuous positive airway pressure (cpap) on day of life 19. on day of life 21 he was transitioned to high flow nasal cannula 1 liter 28% to 38%. he is currently in humidified 1 liter nasal cannula. his oxygen requirement generally ranges 31% to 38%. his respiratory rate is in the 50s to70s with mild retraction. he was started on caffeine citrate for apnea prematurity on day of life 11. he currently has 0-3 apnea bradycardia episodes a day on caffeine of 7 mg per kilogram per day. cardiovascular: he received indocin on day of life 2 for clinical signs and symptoms of patent ductus arteriosus. an echocardiogram following 3 doses of indocin on day of life of 3 showed no pda but severe left ventricular dysfunction. a repeat echocardiogram on day of life 6 showed the severe left ventricular dysfunction was resolved, structurally normal heart. he currently has no murmur. his heart rate ranges 150s to 170s. a recent blood pressure 77/40 with a mean of 74. fluids, electrolytes, and nutrition: he was initially npo and maintained on total parenteral nutrition. he started enteral feeds with premature enfamil 20 calories per ounce on day of life 9 and advanced to full volume feeds of 150 ml per kilo per day on day of life 20. his caloric density was increased gradually and he is currently on premature enfamil 30 calories per ounce at 150 ml per kilo per day divided every 4 hours and is tolerating his feeds well with weight gain. discharge weight 1400 grams, lenght 37.5 cm, and hc 28.25 cm. his electrolytes on were sodium 136, potassium 5.4, chloride 102, and co2 26. nutrition labs were drawn on and were ca 10.4, po4 4.6, and alk phos 605. he is voiding and stooling appropriately. his stools have been guaiac-negative. gi: phototherapy was started on day of life 1 for indirect hyperbilirubinemia. the peak bili was on day of life 2 with a total of 6.5 and direct 0.4. phototherapy was discontinued on day of life 12. the bili off phototherapy was total 1.7 and 0.15 on day of life 15. hematology: his blood type is b positive, coombs negative. he was very sick initially with a pulmonary hemorrhage on day of life 1 and 2 and with a coagulopathy which was treated with an ffp transfusion and a platelet transfusion with resolution. he has received a total of 4 packed red blood cells transfusions. his last transfusion was on day of life 27 () for a hematocrit of 24.8%. he has not had a post transfusion hematocrit. infectious disease: he received 7 days of ampicillin and gentamicin from birth for suspected infection. his blood culture was negative. he has had no further episodes of infection. we do weekly screening for mrsa and as of he is mrsa negative. neurology: on day of life 3 he had his first head ultrasound which showed bilateral grade 3. subsequently he had serial ultrasounds weekly and has not had any post hemorrhagic hydrocephalus. his most recent head ultrasound was on and showed mild ventricular asymmetry without ventricular enlargement. no interventricular hemorrhage. his head circumference increased 1.25 cm the day prior to transfer. this would represent 3.5 cm of growth since birth. it is likely that the change in hc is remolding of the head after being removed from cpap. sensory, audiology, and hearing screening: has not performed and is recommended prior to discharge from hospital. ophthalmology: eyes examined most recently on revealing immaturity of the retinal vessels but no rop as of yet. a follow-up exam should be scheduled for the week of . psychosocial: social worker and follow with family and contact social worker is . she can be reached at (. the family has visited as often as possible but has had transportation problems. they are very involved with the baby and very excited the baby can be transferred to hospital. condition on discharge: a 34 day old former 27-4/7 week now 32-3/7 post conceptual age feeding and growing with chronic lung disease. discharge disposition: transferred to hospital. name of primary pediatrician: the pediatrician has not been identified. care and recommendations: 1. feeds. premature enfamil 24 calories per ounce with 6 calories per ounce of enfamil concentrate to equal 30 calories per ounce, 150 ml per kilo per day divided every 4 hours. 2. medications: caffeine citrate 9 mg once a day, ferrous sulfate 0.2 ml once a day equals 2 mg per kilogram per day, vitamin e 5 international units once a day. 3. iron and vitamin d supplementation. iron supplementation is recommended for preterm and low birth weight infants until 12 months corrected age. 4. car seat position screen test has not performed, recommend prior to discharge. 5. newborn state screen was sent on , and , and the results were within range. a newborn screen was sent on the day of discharge , and is pending. 6. immunizations received. hepatitis b immunoglobulin and hepatitis b vaccine on the day of delivery as the mother's hepatitis b status was not known. received second hepatitis b immunization on . because he was less than 2 kg at the time of immunization, he will need two more hepatitis b vaccines (giving him a total of 4). the last two may be given in the form of pediarix with the 2 month and 4 month vaccinations. 7. immunizations recommended: synagist rsv prophylaxis should be considered from to for infants meeting any of the following four criteria: -born at less than 32 weeks; -born between 32 and 35 weeks with 2 of the following: day during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings. -chronic lung disease. -hemodynamically significant congenital heart disease. influenzae 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. 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. discharge diagnoses: 1. prematurity at 27-4/7 weeks gestations. growth appropriate for gestational age. 2. respiratory distress syndrome, resolved. 3. patent ductus arteriosus, resolved. 4. pulmonary hemorrhage, resolved. 5. coagulopathy, resolved. 6. apnea of prematurity. 7. anemia of prematurity. 8. sepsis. 9. interventricular hemorrhage. 10.indirect hyperbilirubinemia. , md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances injection or infusion of other therapeutic or prophylactic substance other phototherapy injection of antibiotic transfusion of packed cells umbilical vein catheterization transfusion of other serum transfusion of platelets diagnoses: single liveborn, born in hospital, delivered by cesarean section need for prophylactic vaccination and inoculation against viral hepatitis extreme immaturity, 750-999 grams respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery 27-28 completed weeks of gestation primary apnea of newborn patent ductus arteriosus anemia of prematurity septicemia [sepsis] of newborn other and unspecified coagulation defects pulmonary hemorrhage intraventricular hemorrhage, grade iii 

Answer: The patient is high likely exposed to