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: service: neonatology history of present illness: is the former 1.97 kg product of a 33 week gestation pregnancy, born to a 37-year-old gvi pii-iii african-american woman. prenatal screens: blood type o negative, antibody positive for both anti-d and anti-c antibody, rubella immune, rpr positive with beta strep status unknown. pregnancy was complicated by rh isoimmunization. the fetus was followed with serial amniocenteses and medial cerebral artery doppler flow studies the mother received two doses of betamethasone and was beta complete on . there was also a past history of fully treated syphilis, with appropriate follow-up serology. this infant was initially scheduled for induction fetal heart rate decelerations and was taken to cesarean section. the infant emerged apneic and limp, required positive pressure ventilation and blow-by oxygen. apgars were 4 at one minute and 8 at five minutes. she was admitted to the neonatal intensive care unit for treatment of prematurity. physical examination: upon admission to the neonatal intensive care unit, weight 1.97 kg (50th percentile), length 42.5 cm (50th percentile), head circumference 30.5 cm (50th percentile). general: non-dysmorphic, pre-term female, in moderate respiratory distress. head, eyes, ears, nose and throat: anterior fontanel open and level, symmetric facial features, palate intact. neck without masses or swelling. chest: moderate retractions, fair air entry. cardiovascular: regular rate and rhythm, no murmur, femoral pulses +2. abdomen: soft, nontender, no masses. genitourinary: normal pre-term female genitalia. extremities: moving all, hips stable. neurologic: appropriate tone and reflexes. hospital course by system: 1. respiratory: required treatment for transitional respiratory distress with continuous positive airway pressure. she was able to be weaned to room air by day of life one, and she remained in room air throughout her subsequent neonatal intensive care unit admission. she did not have any episodes of apnea during the admission. 2. cardiovascular: maintained normal heart rates and blood pressures during the admission. no murmurs have been noted. 3. fluids, electrolytes and nutrition: was initially nothing by mouth and maintained on intravenous fluids. enteral feedings were started on day of life number six, and gradually advanced to full volume. she was on 24 calorie formula throughout her neonatal intensive care unit admission, and she is being discharged home on enfamil fortified to 24 calories/ounce. serum electrolytes were checked in the first ten days of life and were within normal limits. discharge weight is 2.675 kg, with a length of 46.5 cm and a head circumference of 33.5 cm. 4. hematology: initial cord bilirubin was 3.9 total/0.3 direct. initial hematocrit at birth was 27%. over the first four days of life, the hematocrit declined gradually to a low of 11%. underwent double volume exchange transfusion on to correct her hemolytic anemia due to the known rh isoimmunization. her most recent hematocrit was 36.9% on , which was up from 26.7% on . she is being discharged home on supplemental iron. her blood type is o positive, and she was direct antibody positive. 5. gastrointestinal: peak serum bilirubin occurred on day of life number five with a total of 10.1/0.3 direct. she was treated with intensive phototherapy from the date of birth through the first two weeks of life. her rebound bilirubin on was 5.7 total/0.2 direct. 6. infectious disease: due to her respiratory distress at birth, was evaluated for sepsis and treated presumptively with intravenous ampicillin and gentamicin. a blood culture obtained prior to starting antibiotics was no growth. she also received three doses of oxacillin around the time of her double volume exchange transfusion due to the use of her umbilical vein for the exchange transfusion. rpr and treponemal antibody tests were sent on the infant on . the rpr was nonreactive, and the treponemal antibody test results remain outstanding. 7. neurology: a head ultrasound was obtained on and showed a small right germinal matrix hemorrhage. a head ultrasound is being recommended at approximately one month of age to be done on an outpatient basis. 8. sensory: a hearing screening was performed with automated auditory brain stem responses. passed in both ears. condition at discharge: good discharge disposition: home with parents primary pediatric care: will be provided through the pediatric house associates clinic at . care recommendations: 1. feedings: by mouth ad lib 130 cc/kg/day minimum of enfamil fortified to 24 calories/ounce. 2. medications: fer-in- 25 mg/ml dilution, 0.2 cc by mouth once daily. 3. car seat position screening was performed prior to discharge, with adequate oximetry saturations. 4. state newborn screen was sent on day of life number three, with no report of abnormal results. 5. immunizations: initial hepatitis b vaccine was administered on . 6. immunizations recommended: synagis respiratory syncytial virus prophylaxis should be considered from through for infants who meet any of the following three criteria: (1) born at less than 32 weeks gestation; (2) born between 32 and 35 weeks, with plans for day care during respiratory syncytial virus season, with a smoker in the household, or with preschool siblings; or (3) with chronic lung disease. influenza immunization should be considered annually in the fall for pre-term infants with chronic lung disease once they reach six months of age. before this age, the family and other care givers should be considered for immunization against influenza to protect the infant. 7. follow-up appointments recommended with the primary pediatric provider within week of discharge. a repeat head ultrasound by two months of age. discharge diagnosis: 1. prematurity at 33 3/7 weeks gestation 2. transitional respiratory distress 3. rh isoimmunization 4. rule out sepsis 5. hemolytic anemia status post double volume exchange transfusion , m.d. dictated by: medquist36 d: 01:22 t: 01:56 job#: procedure: enteral infusion of concentrated nutritional substances other phototherapy prophylactic administration of vaccine against other diseases exchange transfusion diagnoses: single liveborn, born in hospital, delivered by cesarean section need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition neonatal jaundice associated with preterm delivery other respiratory problems after birth other preterm infants, 1,750-1,999 grams 33-34 completed weeks of gestation hemolytic disease of fetus or newborn due to abo isoimmunization 

Answer: The patient is high likely exposed to