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: is the former 1.19 kg product of a 28 week gestation pregnancy born to a 33 year old gravida 1 now para 0 woman. prenatal screens, blood type a positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, group b streptococcus status unknown. the prenatal course was significant for preterm labor initiated on , treated with magnesium sulfate. the mother also received two doses of betamethasone. she presented with vaginal bleeding and was felt to have a chronic abruption. on the date of delivery, the mother developed a fever to 101 degrees f without other signs of chorioamnionitis. she was treated with ampicillin and erythromycin prior to delivery. the infant was born by spontaneous vaginal delivery. apgars were 8 at one minute and 9 at five minutes. he received blow-by oxygen for central cyanosis that resolved. he was admitted to the neonatal intensive care unit for treatment of prematurity. physical examination: physical examination upon admission to the neonatal intensive care unit revealed weight 1.19 kg, length 38 cm, head circumference 25.5 cm, all at the 50th percentile for gestational age of 28 weeks. oxygen saturation 90% on a cpap of 5 cm of water pressure. general: nondysmorphic preterm male. head, eyes, ears, nose and throat: anterior fontanelle open and flat, palate intact, positive red reflex bilaterally. chest, breath sounds slightly decreased but equal, mild to moderate intercostal, subcostal retraction. cardiovascular, regular rate and rhythm, normal s1 and s2, no murmur. abdomen was soft, nontender, nondistended. extremities, warm and well perfused. genitourinary: normal preterm male, testes undescended. anus patent. spine, intact with normal sacrum. hips stable. hospital course: (by systems including pertinent laboratory data) 1. respiratory - was treated with continuous positive airway pressure for the first four days of life. he was then in nasal cannula oxygen through day of life #21 when he had increasing work with breathing and was restarted on the continuous positive airway pressure. he continued for five minutes. on day of life #26 he was changed back to nasal cannula oxygen and remained in nasal cannula oxygen through day of life #43, . he was treated for apnea of prematurity with caffeine. the caffeine was discontinued on . his last episode of spontaneous apnea and bradycardia occurred on . recently he has had some cyanosis associated with feeding which is quickly self-resolving. 2. cardiovascular - has maintained normal heart rates and blood pressures during admission. a soft murmur has been noted intermittently during admission and is felt to be consistent with peripheral pulmonic stenosis. 3. fluids, electrolytes and nutrition - was initially npo and maintained on intravenous fluids. enteral feeds were started on the day of life #2 and gradually advanced to full volume. on day of life #22 he presented with guaiac positive stools and abdominal distention. there was high suspicion for necrotizing enterocolitis, and he received 14 days of bowel rest. feedings were again initiated on day of life #37 and he was gradually advanced and feedings were well tolerated. during his course of bowel rest, he was maintained on total parenteral nutrition via a peripherally placed central line. at the time of discharge, he is breastfeeding or taking expressed mother's milk fortified to 26 kg/oz, 4 calories by enfamil powder and 2 calories by corn oil. serum electrolytes were checked in the first week of life and then again with the onset of his gastrointestinal illness and were within normal limits. weight at the time of discharge is 2.535 kg with a head circumference of 30.5 cm and a length of 48 cm. 4. infectious disease - due to the mother's significant fever and prematurity, was evaluated for sepsis. the white blood cell count was 5000 with a differential of 58% polys, 3% bands. a blood culture was obtained and intravenous ampicillin and gentamicin were started. on day of life #4 he had a lumbar puncture that showed 0 red cells and 23 white cells with an elevated protein and a low glucose. these findings were with concern for possible meningitis and he received a 14 day course of ampicillin and gentamicin. on day of life #18 he presented with lethargy and increased apnea and bradycardia. a repeat complete blood count was obtained and had a white count of 15, 600 with a differential of 27% polys, 9% bands, 2 metacytes, 1 myelocyte and 1 promyelocyte with an immature to total ratio of 0.32. a blood culture was obtained and intravenous antibiotics of vancomycin and gentamicin were started. a repeat lumbar puncture was performed with 1 red blood cells and 20 white blood cells but with normal glucose and protein. with the onset of his guaiac positive stools and abdominal distention his antibiotic coverage was changed to ampicillin and gentamicin, and he received a 14 day course in concordance with his bowel rest. 5. hematology - hematocrit at birth was 51%. on , along with his workup for suspicion for necrotizing enterocolitis, his hematocrit was noted to be 24.5%. he received one red blood cell transfusion, that was his only transfusion during admission. he is blood type a positive. he was treated with supplemental iron, once his feedings were restarted. his most recent hematocrit was and is 25.4% with a reticulocyte count of 2.8%. he is being discharged on 4 mg/kg/day of supplemental iron. 6. gastrointestinal - required treatment for unconjugated hyperbilirubinemia with phototherapy. his peak serum bilirubin occurred on day of life #1 with a total of 6.6/0.3, direct mg/dl. phototherapy was continued for 72 hours and a rebound bilirubin was 4.6 total/0.3 direct. as previously mentioned, presented with high suspicion for necrotizing enterocolitis with abdominal x-rays showing an abnormal gas pattern at the same time that he presented with guaiac positive stools. he was treated with 14 days of bowel rest and antibiotics. a recent serum bilirubin was obtained on , due to some clinical jaundice and was a total of 3.8/1.3 direct. this is consistent with total parenteral nutrition-associated cholestasis. 7. neurology - had had two normal head ultrasounds on and . he has maintained a normal neurological examination during admission and there were no neurological concerns at the time of discharge. 8. sensory - audiology, hearing screening was performed with automated auditory brainstem responses, passed in both ears. ophthalmology, eyes were most recently examined on . he has stage 1, zone 2, 3 clock hours of retinopathy of prematurity in the right eye. his retina is immature to zone 2 on the left. recommended follow up examination, in two weeks. the follow up examination is recommended the week of . the ophthalmologist is dr. with offices at the at , , ma, phone condition on discharge: good. discharge disposition: to home with parents. primary pediatrician: dr. , , , phone . fax . care/recommendations: feedings - expressed mother's milk fortified to 26 cal/oz, 4 calories by enfamil powder, 2 calories by corn oil. medications - vi-day- 1 cc p.o. q. day, ferrous sulfate 25 mg/ml dilution 0.4 cc p.o. q.d. carseat position screening - performed and was observed for 90 minutes in the carseat without episodes of apnea, bradycardia or oxygen desaturation. state newborn screen - sent on , , and , all results within normal limits. immunizations received - hepatitis b on , synagis . 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; 2. born between 32 and 35 weeks with two of the three of the following: daycare during respiratory syncytial virus season, with a smoker in the household, neuromuscular disease, airway abnormalities or school-age siblings; or 3. with chronic lung disease. influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age. before this age the family and other caregivers should be considered for immunization against influenza to protect the infant. follow up appointments recommended - 1. with primary pediatrician, dr. within three days of discharge. 2. dr. of ophthalmology the week of . discharge diagnosis: 1. prematurity at 28 1/7 weeks gestation 2. respiratory distress syndrome 3. suspicion for sepsis 4. suspicion for meningitis 5. presumed necrotizing enterocolitis 6. apnea of prematurity 7. anemia of prematurity 8. retinopathy of prematurity 9. unconjugated hyperbilirubinemia , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells diagnoses: unspecified septicemia single liveborn, born in hospital, delivered without mention of cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery 27-28 completed weeks of gestation anemia of prematurity acute vascular insufficiency of intestine other preterm infants, 1,000-1,249 grams meningitis, unspecified 

Answer: The patient is high likely exposed to