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 38-5/7 weeks gestation and admitted to the newborn intensive care unit for management of prematurity and respiratory distress. she was born to a 24-year-old, gravida 1, para 1, now 1 woman. the mother's prenatal screens were blood type a positive, antibody negative, rubella immune, rpr nonreactive, hepatitis surface antigen negative, and group b strep unknown. the maternal previous medical history is remarkable only for migraine headaches treated with tylenol and an abnormal pap smear. the pregnancy was uncomplicated until premature range of motion 23 hours prior to delivery. the mother was transferred from when she had abdominal tenderness and a fever to 99.9. she did receive 1 dose of betamethasone prior to delivery and the labor was then induced due to abdominal tenderness. the infant emerged with decreased respiratory effort requiring positive pressure ventilation and intubation in the delivery room. her apgars were 5 at one minute,6 at five minutes, and 8 at ten minutes. her birth weight was 1605 gm (75th percentile), birth length 43 cm (75th-90th percentile), and her birth head circumference 29.25 cm (75th percentile). at discharge, her weight is 1605 gm, her length is 43 cm, and her head circumference is 29.5 cm. her discharge physical exam reveals a vigorous, nondysmorphic, preterm infant, swaddled in an isolette, anterior fontanel open and flat, sutures approximated, positive bilateral red reflex, no eye drainage, palate intact. oral mucosa without lesions. neck supple and without masses. clavicles intact. minimal subcostal retractions in room air. lungs sounds clear and equal. heart was regular rate and rhythm, no murmur. pink and well perfused with quiet precordium and femoral pulses present. abdomen soft, nontender, nondistended and with active bowel sounds. cord dry. stable hip exam. normal female genitalia. no sacral anomalies. normal digits and creases and age-appropriate and symmetric tone and reflexes. nicu course by systems: 1. respiratory status: was intubated at the time of delivery. she received 2 doses of surfactant and extubated to room air on day of life #3 where she has remained. she has been treated with caffeine citrate for apnea of prematurity since day of life #1 and that continues at the time of discharge. she has 1-5 episodes of apnea and bradycardia every 24-hour period. on exam her respirations are comfortable. lung sounds are clear and equal. 2. cardiovascular status: she has remained normotensive throughout her nicu stay. she has had an intermittent very soft systolic ejection murmur at the left sternal border which has not been further evaluated due to its intermittent nature. she had an echo on which showed a pfo vs asd and left pps. 3. fluid/electrolyte/nutrition status: enteral feeds were begun day of life #2 and advanced without difficulty to full volume feedings by day of life #13. at the time of transfer, she is receiving total fluids of 150 ml/kg/day of 26-calorie per ounce similac special care formula by gavage every 4 hours. she has not had any oral feedings yet. her last electrolytes on were sodium 136, potassium 5.6, chloride 105, and bicarbonate 22. her weight at the time of transfer was grams. 4. gastrointestinal status: was treated with phototherapy for hyperbilirubinemia of prematurity from day of life #3 until day of life #9. her peak bilirubin occurred on day of life #4 and was total 11.3, direct 0.7. her last bilirubin on was total 1.8, direct 0.6. she was passing regular stools. 5. hematology: she has never received a blood product transfusion during her nicu stay. her blood type is a positive, dat negative. her hematocrit at the time of admission was 51.1 and her last hematocrit on was 40.4. she did have some thrombocytopenia. at the time of admission her platelet count was 152,000. she did have diffuse petechiae over her body which have now resolved. her platelet nadir occurred on and was 102,000. she never required platelet transfusion. her last platelet count on was 583,000. 6. infectious disease status: she was started on ampicillin and gentamicin at the time of admission for sepsis risk factors. she completed a 21-day course of ampicillin and gentamicin. her cerebral spinal fluid culture was negative. that spinal tap was done on . the protein count was 246, the glucose 25. the white blood cell count on that specimen was 2444 with a csf hematocrit of 8. in light of those findings, meningitis was presumed. 7. neurology: her first head ultrasound on revealed bilaterally germinal matrix and intraventricular hemorrhage with a clot identified in both the third and fourth ventricles. there was some subtle periventricular increased echogenicity that would require further evaluation. her next head ultrasound done 2 days later on revealed stable bilateral casts of hemorrhage within both lateral ventricles slightly expanding their size but approximately stable in size. this subtle area of increased echogenicity in the previous head ultrasound was not appreciated. there also was a finding at that time of an increased amount of diastolic flow in the anterior cerebral artery that can sometimes be seen in the study of cerebral ischemia but not a specific finding that would require follow-up. next head ultrasound done on showed moderate dilation of the lateral ventricles and mild dilation of the third ventricle, increased compared to the previous study. the blood flow across the anterior cerebral artery was also increased as previously described. her last head ultrasound on showed no changes from the previous studies with ventricular size stable but moderately dilated. on , she had mildly increased ventricle size with slightly increased ri's. on and the ventricle size was unchanged from and the ri were back down. she has been followed by neurology service, attending physician . . our plan was to follow-up with a repeat head ultrasound weekly. her head circumference has been 30-31 cm. she needs to have daily hc checked. . 1. audiology: hearing screen has not yet been performed but is recommended prior to discharge. 2. ophthalmology: her eyes have not yet been examined. 3. psychosocial issues: the parents have been involved in the infant's care throughout her nicu stay. the infant is discharged in good condition. she is transferred to special care nursery for continuing care. her primary pediatric care provider has been identified as dr. of , massachussetts. recommendations after discharge: feeding: total fluids 150 ml/kg/day of special care formula 26-calories per ounce by gavage, increasing calories as needed to maintain weight gain. discharge medications: she is discharged on the following medications: none iron and vitamin d supplementation: 1. iron supplementation is recommended for pre-term and low birth weight infants until 12 months of corrected age. 2. all infants fed predominantly breast milk should receive vitamin d supplementation at 200 international units which may be provided as a multivitamin preparation daily until 12 months corrected age. this infant will need a car seat position screen test prior to discharge. her state newborn screens were sent on and . she has received no immunizations to date. recommended immunizations: 1. synagis rsv prophylaxis should be considered from through for infants who meet any of the following 4 criteria: 1. born at less than 32 weeks. 2. born between 32 and 35 weeks with 2 of the following: day care during the rsv season, a smoker in the household, neuromuscular disease, airway abnormalities, or school-age siblings. 3. chronic lung disease. 4. hemodynamically significant congenital heart disease. 2. 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. 3. 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. follow-up appointments: she will need to follow-up with neonatal neurology 2-4 weeks after discharge home. neurology attending physician . followed her in the nicu. discharge diagnoses: 1. status post prematurity at 30 weeks gestation. 2. status post respiratory distress syndrome. 3. sepsis. 4. presumed meningitis. 5. bilateral intraventricular hemorrhage. 6. ventriculomegaly of lateral ventricles and third ventricles. 7. status post hyperbilirubinemia of prematurity. 8. apnea of prematurity. 9. status post thrombocytopenia. , md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other phototherapy diagnoses: single liveborn, born in hospital, delivered without mention of cesarean section respiratory distress syndrome in newborn primary apnea of newborn other preterm infants, 1,500-1,749 grams septicemia [sepsis] of newborn 29-30 completed weeks of gestation transient neonatal thrombocytopenia meningitis, unspecified intraventricular hemorrhage unspecified grade 

Answer: The patient is high likely exposed to