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: , whose last name will be at discharge, was born at 33 and 2/7 weeks gestation by cesarean section for non reassuring fetal heart rate. mother is a 33 year-old, gravida iv, para 1 now 2 woman. mother's prenatal screen included blood type a positive, antibody screen negative, rubella immune, rpr non reactive, hepatitis b surface antigen negative, and group b strep unknown. the previous pregnancies were remarkable for intrauterine fetal demise at 17 weeks in and a 28 week delivery in . that child is alive and well. she also had a spontaneous loss in . this pregnancy was complicated by: (1) cervical incompetence, treated with cerclage at 14 weeks and managed with progesterone in light of the previous pregnancy history. (2) increased nuchal lucency and a 2 vessel umbilical cord. (3) amniocentesis with a normal karyotype of 46xx. (4) normal fetal echo x2 at . (5) intrauterine growth restriction. the mother received a complete course of betamethasone at 30.5 weeks gestation. rupture of membranes occurred at time of delivery with yellow stained amniotic fluid. the infant received free flow oxygen and mask c-pap in the delivery room. the apgar scores were 6 at 1 minute and 8 at 5 minutes. physical examination: on admission, weight was 1235 grams, less than the 10th percentile. length 38 cm, less than the 10th percentile. head circumference 25 cm, less than the 10th percentile. this small for gestational age dysmorphic infant with anterior fontanel and posterior fontanel both open, soft and flat, no cutis aplasia, low nuchal hair line, thickened nuchal fold, hypertelorism with wide nasal bridge and beaking of the nose, cleft palate both hard and soft, intact lip. ears slightly low set and posteriorly rotated with somewhat central pinna. red reflexes present, positive brush-field spots. wide space nipples. short sternum. fair aeration. crackly breath sounds. no murmur. normal pulses. soft abdomen, 2 vessel cord. no hepatosplenomegaly. no masses. preterm female genitalia with large clitoris, small vaginal opening and a vaginal tag. patent anus. no hip clicks. closed cleft in sacral area with sharp edges of coccyx palpable. post axial polydactyly bilaterally. no syndactyly. active with good tone. hospital course: respiratory: was intubated soon after admission to the neonatal intensive care unit. she received 2 doses of surfactant for respiratory distress syndrome. she was extubated to room air on day of life 2. she was intubated and ventilated again on for her pda ligation and then about 12 hours ventilated postoperative and then was extubated to room air. she has otherwise remained in room air throughout her hospitalization. currently, her respiratory rates range in the 40s to 60s. she does have mild increased work of breathing, associated with feedings or when she is tired. cardiovascular: has had several echocardiograms since delivery. her most recent echocardiogram was prior to her pda ligation and this showed a secundum atrial septal defect, patent ductus arteriosus, valvular pulmonary stenosis, left pulmonary artery stenosis and pulmonary hypertension. in light of her pulmonary hypertension, the decision was made to ligate her patent ductus arteriosus as that was contributing to her pulmonary hypertension. her ductus arteriosus was ligated on . at the time of discharge, 's heart range in the 140s to 160s. she continues to have a loud murmur, with normal pulses and perfusion. a recent blood pressure was 88/56 with a mean of 64. fluids, electrolytes and nutrition: was initially managed on total parenteral nutrition via a picc line in the left arm. enteral feedings were started on day of life 3 and advanced to almost full volume when she had an onset of bloody stools and was made n.p.o. she remained n.p.o. for 14 days for presumed necrotizing enterocolitis and feeds were restarted again on day of life 25. she was advanced to full feedings without problem. she was n.p.o. again briefly for her pda ligation. at the time of discharge, she is on 30 calorie per ounce formula as neo care concentrated to 27 calories per ounce with 3 calories per ounce of corn oil or breast milk with neo sure powder to equal 27 calories per ounce with 3 calories per ounce of corn oil added, to equal a total of 30 calories per ounce. she is feeding on ad lib demand with a premature habermann feeder and is taking anywhere between 150 to 180 ml/kg per day with slow weight gain. discharge weight is 1840 grams. length 43 cm. head circumference 27.5 cm. gastrointestinal: was treated with phototherapy for hyperbilirubinemia of prematurity. her peak bilirubin on day of life 3 with a total of 6.7, direct of 0.3. on day of life 8, she presented with frankly bloody stools. her abdominal x- ray showed mildly dilated bowel loops and a nonspecific gas pattern. there was no pneumatosis. she was treated with 14 days of bowel rest and antibiotics. since refeeding, she has done well without bloody stools. hematology: she has not received any blood products during her nicu stay. her last hematocrit on was 30 with a reticulocyte count of 4.3%. she received supplemental iron. infectious disease: received 48 hours of ampicillin and gentamycin changed to cefotaxime. on admission for rule out sepsis, and sepsis was ruled out. again, on day of life 9, she received 14 days of ampicillin and cefotaxime for a presumed necrotizing enterocolitis. when she is not on ampicillin, she has been receiving amoxicillin 20 mg/kg per day for renal prophylaxis due to hydronephrosis. on day of life 37, she received a 5 day course of erythromycin ophthalmic ointment for bilateral conjunctivitis. urine was sent x3 for cmv and all were negative. renal: a renal ultrasound on showed small peripheral cysts within both kidneys suggestive of dysplasia. no hydronephrosis and a normal bladder. a follow-up renal ultrasound on showed appropriate interval growth of both kidneys. they continued to be echogenic with peripheral cysts, suggestive of dysplasia. in addition, a right distal hydroureter persistently noted without a ureterocele within the bladder and a normal bladder. a follow-up voiding cystourethrogram is recommended after discharge. she will be followed by the renal service at . genetics: she was evaluated by the genetic team. she does have a karyotype of 46xx. in addition, her chromosomes are remarkable for 4p deletion, consistent with -hirschorn's syndrome. additionally, she has trisomy on the 17q chromosome. this is consistent with a very poor prognosis cognitively and developmentally. the initially declined any further genetic testing but have decided to pursue this at the genetic department after 's discharge. orthopedics: was evaluated by dr. of plastic surgery and he removed the 6th finger on the ulnar side of both hands on . the left side was connected with a skin bridge and the right side was connected with a skeletal piece. the areas are healing well. in addition, she was noted, on x-ray to have a hemi-vertebra at t8. neurology: due to her prominent coccyx and dimple, a spinal ultrasound was done on which showed spinal cord conus does end normally at l1. head ultrasound on showed resolving bilateral germinal matrix hemorrhages. a follow-up head ultrasound on showed evolving bilateral germinal matrix hemorrhage. additionally, some mild bilateral ventriculomegaly. on , a repeat head ultrasound again showed evolving germinal matrix hemorrhages and stable mild ventricular dilatation. audiology: hearing screening was performed with automated auditory brain stem response. she passed in both ears. ophthalmology: the eyes were examined most recently on revealing maturing retinal vessels. a follow-up exam is recommended in 9 months. psychosocial: 's last name after discharge will be which is the father's last name. this is the first baby for this couple. the mother has another child previously born at 28 weeks who is doing well. the father has 2 daughters. the are very involved with 's care and have been with her frequently throughout her nicu stay. condition on discharge: stable. infant now 52 days old, 41 and 6/7 weeks corrected post menstrual age. discharge disposition: discharged home with her . name of primary pediatrician: , md, in . telephone number . care and recommendations: 1. feeds: ad lib feeding with the habermann feeder, 30 calories per ounce feedings with either neo sure concentrated 27 calories with 3 calories per ounce of corn oil or mother's expressed breast milk with neo sure powder added to make 27 calories per ounce with 3 calories per ounce of corn oil. 2. amoxicillin 36 mg orally daily - for uti prophylaxis 3. ferrous sulfate (25 mg/ml) 0.2 ml daily. 4. car seat screening was not done as the infant will be discharged home in a car bed. 5. newborn state screen has been done on several occasions. all have been normal. 6. immunizations: she received her 2 month immunizations on . she received pediarix, hib, pneumococcal 7- valient conjugate vaccine. the pediarix was the first time she received her hepatitis b. 7. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following criteria: (1) born with hemodynamically signficant congenital heart disease. (2) born at less than 32 weeks; (3) 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; (4) chronic lung disease. because of her heart disease and evidence of chronic lund disease, we strongly recommend that she receive synagis. 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 scheduled or recommended: 1. renal service with dr. . appointment is for at 1 p.m. and they will schedule a vcug at that time. 2. cardiology service with dr. at . first appointment is scheduled for at 5 p.m. 3. genetics follow-up appointment with genetics program at , . date of appointment not known at this time. 4. cleft lip and palate program: follow-up with this program at at the discretion, . 5. pediatric appointment with dr. in on . telephone number . 6. referral made to bay cove early intervention program, . 7. care group vna visit, planned for the week-end, . 8. ophthalmology appointment in 9 months with dr. at , . 9. full diagnostic auditory brainstem response will be performed at ch. 10. have also been given information regarding the coordinated care service and the pediatric advanced care service at . discharge diagnoses: 1. prematurity at 33 and 2/7 weeks gestation. 2. small for gestational age. 3. respiratory distress syndrome, resolved. 4. apnea of prematurity, resolved. 5. sepsis ruled out. 6. clinical necrotizing enterocolitis, resolved. 7. hemi-vertebra at t8. 8. cleft palate, both hard and soft palate. 9. bilateral renal cystic dysplasia. 10. right distal hydroureter. 11. complex congenital heart disease with left pulmonary artery stenosis, atrial septal defect, pulmonary hypertension, mild valvular pulmonary stenosis, status post pda ligation. 15. -hirschorn's syndrome. 16. trisomy 17q chromosome. 17. hyperbilirubinemia resolved. 18. resolving bilateral germinal matrix hemorrhages. 19. bilateral stable mild ventriculomegaly. 20. bilateral polydactyly of both hands, status post removal of extra digits. 21. anemia. , 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 umbilical vein catheterization other surgical occlusion of vessels, thoracic vessels ligation of dermal appendage diagnoses: single liveborn, born in hospital, delivered by cesarean section need for prophylactic vaccination and inoculation against viral hepatitis respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery primary apnea of newborn patent ductus arteriosus intraventricular hemorrhage, grade i 33-34 completed weeks of gestation ostium secundum type atrial septal defect other preterm infants, 1,000-1,249 grams neonatal conjunctivitis and dacryocystitis renal dysplasia congenital obstruction of ureterovesical junction persistent fetal circulation polydactyly of fingers anomalies of skull and face bones other autosomal deletions hemivertebra 

Answer: The patient is high likely exposed to