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 girl was born at 32 and 1/7 weeks gestation. she was born to a 41-year-old g5, p2, now 3 woman with past ob history notable for full term normal vaginal delivery x2, in and . both babies alive and well. a tab for trisomy 21 in and an sab in . past medical history: notable for a leep procedure in for hsv (on valtrex suppressive therapy with no active lesions during pregnancy). prenatal screens: blood type a negative, status post rhogam, dat negative, hbsag negative, rpr nonreactive, rubella immune, gbs unknown. antenatal history: the was for an estimated gestational age of 32 and 1/7 weeks at delivery. this pregnancy was complicated by cervical incompetence with cerclage placement at 16 weeks gestation, and premature prolonged rupture of membranes approximately 12 hours prior to delivery. quadruple screen, full fetal survey, and amniocentesis were both normal. cerclage was removed on the day of delivery and a cesarean section was performed for footling breech presentation. there was no interpartum fever or other clinical evidence of chorioamnionitis, but the antibiotics were administered for latency. neonatal course: the infant was vigorous at delivery. she was orally and nasally bulb suctioned, dried and received brief supplemental free flow oxygen. apgars were 7 at 1 minute, and 8 at 5 minutes. physical examination: a well appearing moderately preterm infant. birth weight of 1790 grams which is 50th percentile; length of 42 cm which is 50th percentile; head circumference of 30 cm which is 50th percentile. heent: anterior fontanel soft and flat. nondysmorphic, intact palate, neck and mouth normal. normocephalic. no nasal flaring. chest: no retractions. good breath sounds bilaterally. no adventitious sounds. cardiovascular system: well perfused. normal rate and rhythm. femoral pulses normal. normal s1 and s2 without murmurs. abdomen: soft, nondistended. no organomegaly. no masses. bowel sounds active. patent anus. genitourinary: normal female genitalia. cns: active, alert, responsive to stimulus. tone is appropriate for gestational age and symmetric. normal suck, gag and root reflexes. integumentary: normal. musculoskeletal: normal spine, limbs, hips and clavicles. summary of hospital course by systems: respiratory: the infant came to the nicu having mild retractions, was on room air and has remained on room air for entire stay in the nicu. she has had occasional spells. she has not been started on any methylxanthine therapy and has approximately 3 to 4 spells per day. all are mild, quick self resolved, not requiring any intervention. cardiovascular: on day of life the infant had an abnormal vascular event which while at rest the infant presented with left sided pallor and no palpable femoral pulse or pedal pulse at that time. this episode was while at rest and some pallor and cyanosis across the midline on the abdomen and back of the infant and buttocks. the infant has never had any central line. the infant was treated with a normal saline bolus for this episode presuming some hypovolemia at the time and it did resolve within 15 to 20 minutes of time. due to this episode an ekg ws done which was found to be normal and that was on day of life 2 also. an echocardiogram with cardiac consult was done. the echocardiogram showed an aneurysmal septum primum with left to right patent foramen ovale. no significant valvar dysfunction. no patent ductus arteriosus. qualitatively mildly depressed left ventricular systolic function. the infant has presented with no further such episodes. there is no audible murmur and nor has there been one. there is normal heart rate and rhythm and blood pressures consistently. there was also no blood clot noted on the echocardiogram. fluids, electrolytes and nutrition: iv fluids were initiated on admission to the nicu. the infant received a total of 2 boluses of normal saline shortly after admission for decreased perfusion at the vascular event. enteral feedings were initiated on day 3 of life. the infant received full volume feedings on day of life 6. he is presently all pg feeds of breast milk 24 calorie per ounce at 150 ml per kg per day. his most recent weight is 1660 grams on . his most recent set of electrolytes was on , with sodium of 143, k of 4.2, chloride 109, co2 of 21. gastrointestinal: the infant has ongoing issues of hyperbilirubinemia and is presently under phototherapy and has received a total of 3 days of phototherapy, initially a 2- day course of phototherapy. the bilirubin level continued to climb after the rebound. the most recent bilirubin level on , was 12.1/0.3 and phototherapy was restarted at that time. follow up bilirubin level was drawn on , and the result is 10.3/0.3. there have been no further gi issues. hematology: cbc was screened on admission to the nicu. hematocrit was 54.2, platelet count of 225,000, no further hematocrits have been measured. follow up platelet count was done on day of life 2 looking for hemolytic issue related to the vascular event. pt was 16.6, ptt was 57.3. the fibrinogen was 174. no further hematologic tests have been done. the infant has a blood type of o positive and coombs negative. infectious disease: cbc and blood culture were screened on admission due to the premature rupture of membranes. cbc showed a white blood cell count of 7.9000 with 19 poly's, 0 bands and 54 lymphs. the infant received 48 hours of ampicillin and gentamycin which were subsequently discontinued when the blood culture remained negative at 48 hours and the clinical status improved. also due to mother's history of hsv, although latent during this pregnancy, hsv surface cultures were done on this infant and found to be normal. neurology: the infant has maintained a normal neurological examination for gestational age and has had no cranial imaging done. audiology: a hearing screen has not been performed thus far but will need to be done prior to discharge from the hospital. psychosocial: a social worker has been involved with the family. there are no active ongoing issues at this time. if there are any concerns she can be reached at . condition on discharge: stable. discharge disposition: transfer to hospital level ii nursery. name of primary pediatrician: undecided. care recommendations: 1. feeds at 150 ml per kg per day pg, to start po when ready and advance calories beyond 24 cal/oz as needed. 2. medications: none at this time but will need iron and multivitamins should be initiated soon. 3. car seat position screening has not been done on this infant thus far. 4. state newborn screen was sent on , and results are pending. 5. immunizations received: the infant has received no immunization thus far. 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: daycare during the rsv season, a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings 3. with chronic lung disease. 11. 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. the infant was in breech position and will need followup hip ultrasound as an outpatient. discharge diagnoses: 1. prematurity, born at 32 and 1/7 weeks gestation, now adjusted age of 33 and 3/7 weeks gestation. 2. apnea of prematurity, ongoing. 3. sepsis, ruled out. 4. cardiac abnormality, ruled out. 5. breech. 6. hyperbilirubinemia. , md procedure: enteral infusion of concentrated nutritional substances other phototherapy injection of antibiotic diagnoses: observation for suspected infectious condition single liveborn, born in hospital, delivered without mention of cesarean section neonatal jaundice associated with preterm delivery other preterm infants, 1,750-1,999 grams 31-32 completed weeks of gestation ostium secundum type atrial septal defect hypovolemia other apnea of newborn other transitory neonatal electrolyte disturbances cyanotic attacks of newborn observation for other specified suspected conditions 

Answer: The patient is high likely exposed to