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: this is the former 1.445 kg product of a 30 and week gestation pregnancy, born to a 30 year-old, g1, p0 woman. prenatal screens blood type 0 positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status unknown. the pregnancy was complicated for premature rupture of membranes which occurred on . the mother was initially admitted to and then transferred to . she received a full course of betamethasone. on the day of delivery, labor progressed to a spontaneous vaginal delivery under epidural anesthesia. there was no intrapartum fever or other clinical evidence of chorioamnionitis. the mother received intrapartum antibiotic therapy for greater than 4 hours prior to delivery. the infant emerged vigorous at delivery. she received routine delivery room care. apgars were 8 at 1 minute and 8 at 5 minutes. the infant was admitted to the neonatal intensive care unit for treatment of prematurity. anthropometric measurements upon admission to the neonatal intensive care unit: weight 1.445 kg, 50th percentile. length 40 cm, 50th percentile. head circumference 26.5 cm, 10 to 25th percentile. physical exam at discharge: weight 2.945 kg, 50th percentile. length 49 cm, 50 to 75th percentile. head circumference 34 cm, 75th percentile. general: alert, active, nondistressed infant with normal tone and cry. skin: color pink in room air. mongolian spot over sacrum. shallow scratches on face. pink and well perfused. head, ears, eyes, nose and throat: anterior fontanel open and flat. sutures apposed. ears normally shaped and set. positive red reflex bilaterally. eyes clear. palate intact. oral mucosa clear. neck supple. no masses. chest: occasional high pitched stridor. breath sounds clear and equal. cardiovascular: regular rate and rhythm. soft systolic murmur at the left upper sternal border. normal s1 and s2. femoral pulses +2. abdomen soft, nontender, nondistended, no masses. positive bowel sounds. cord healed. genitourinary: normal female. musculoskeletal: spine straight, normal sacrum. hips stable. moves all extremities well. neuro: symmetric tone and reflexes. positive suck, positive grasp, positive moro. hospital course by systems including pertinent laboratory data: respiratory: the infant was in room air upon admission to the neonatal intensive care unit and remained in room air until elective intubation for her patent ductus arteriosus ligation on . she remained on vent support for approximately 36 hours after surgery. she was extubated to room air on postoperative day number 2. on day of life 25, she was noted to have occasional stridor and 2 days subsequent, required nasal cannula oxygen, low flow 13 to 25 cc per minute. she transitioned to room air on day 40 but on day 48, again had to go back into nasal cannula 02. she transitioned to room air on and has been in room air for the 48 hours prior to discharge. this infant was also treated for apnea of prematurity with caffeine citrate. the caffeine was discontinued on . her last episode of spontaneous apnea and bradycardia occurred on . chest x-ray was within normal limits. due to the ongoing intermittent stridor, an otorhinolaryngology consult was obtained. the infant had a bedside flexible bronchoscopy performed that showed a left true vocal cord paralysis. she will be followed by the otorhinolaryngology team at 4 weeks after discharge. at the time of discharge, she is breathing comfortably in room air with a respiratory rate of 40 to 70 breaths per minute, oxygen saturations greater than 95%. a barium swallow demonstrated reflux, but no aspiration. cardiovascular: this infant has maintained normal heart rates and blood pressures. a loud murmur was noted on day of life #1 which persisted through day of life #4 when an echocardiogram was performed which showed a 3 mm patent ductus arteriosus with left to right flow, also a patent foramen ovale. the infant received a 3 dose course of indomethacin which was complicated by some renal insufficiency. the repeat echocardiogram showed a persistent 3 to 4 mm patent ductus arteriosus and the decision was made to go to patent ductus arteriosus ligation which occurred on , day of life 10. the infant tolerated the ligation well. at the time of discharge, her baseline heart rate is 130 to 160 beats per minute. she does have a soft systolic murmur which is thought to be the patent foramen ovale or an innocent flow murmur. recent blood pressure is 74/31 with a mean arterial pressure of 46. fluids, electrolytes and nutrition: this infant was initially n.p.o. and treated with iv fluids. she had an umbilical venous catheter and then a peripherally inserted central catheter. feedings were initiated on day of life one but then were held for the course of indomethacin. she resumed enteral feeds on her third postoperative day and has gradually advanced to full volumes and the feedings have been well tolerated. she received expressed breast milk, fortified to 24 calories per ounce with enfamil powder. serum electrolytes showed derangements in the sodium and the potassium on the days immediately after the course of indomethacin and have since normalized. serum creatinine peaked at 1.7 following indocin treatment. a repeat value in mid- following treatmnet was 0.6 weight on the day of discharge is 2.945 kg. infectious disease: the infant had a sepsis evaluation performed on admission to the neonatal intensive care unit for her prematurity and the prolonged premature rupture of membranes. a complete blood count was within normal limits. a blood culture was obtained prior to starting iv ampicillin and gentamycin. the blood culture was no growth at 48 hours and the antibiotics were discontinued. the infant did receive a 3 dose course of cefazolin perioperatively for the patent ductus arteriosus ligation. hematology: this infant is blood type b positive and is direct antibody test negative. hematocrit at birth was 52.3%. this infant did not receive any transfusion of blood products. most recent hematocrit was on at 25.6% with reticulocyte count of 5.8%. she is being discharged home on supplemental iron. gastrointestinal: this infant required treatment for unconjugated hyperbilirubinemia with phototherapy. the peak serum bilirubin occurred on day of life 13, total of 11.4 mg/dl. she was treated with phototherapy for approximately 3 weeks. her most recent rebound bilirubin was 8.2 mg/dl. neurology: this infant has had 3 normal head ultrasounds performed on and . she has a normal neurologic exam at discharge and there were no neurologic concerns at this time. sensory: audiology: hearing screening was performed with automated auditory brain stem responses. this infant passed in both ears. ophthalmology: this infant's most recent eye exam was performed on showing mature retina in both eyes. a follow-up examination is recommended in 9 months. condition on discharge: good. discharge disposition: home with the parents. primary pediatrician: , md, pediatrics, ii, , , phone number . care and recommendations at the time of discharge: 1. feeding ad lib p.o. or breast feeding. if p.o. feeding, breast milk 24 calories per ounce with 4 calories of enfamil powder. 2. medications: ferrous sulfate 25 mg/ml dilution, 0.5 ml p.o. once daily. goldline baby vitamins 1 ml p.o. once daily. 1. iron and vitamin d supplementation: iron supplementation is recommended for preterm and low birth weight infants until 12 months corrected age. all infants fed predominantly breast milk should receive vitamin d supplementation at 200 i.u. (may be provided as a multi- vitamin preparation) daily until 12 months corrected age. 1. car seat position screening was performed. this infant was observed in her car seat for 90 minutes without any episodes of oxygen desaturation or bradycardia. 2. state newborn screens were sent on and . the initial specimen showed an elevated methionine level that was consistent with tpn administration. the repeat specimen on had all results within normal limits. 3. immunizations: hepatitis b vaccine was administered on . synagis was administered on . 1. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following four criteria: (1) born at less than 32 weeks; (2) 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; (3) chronic lung disease or (4) hemodynamically significant congenital heart disease. 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. this infant has not received rota virus vaccine. the american academy of pediatrics recommends initial vaccination of preterm infants at or following discharge from the hospital if they are clinically stable or at least 6 weeks but fewer than 12 weeks of age. followup: 1. appointment with dr. , primary pediatrician, within 3 days of discharge. 2. pediatric otorhinolaryngology at 4 weeks after discharge. dr was attending ent physician who saw patient. discharge diagnoses: 1. prematurity at 30 and 4/7 weeks gestation. 2. suspicion for sepsis ruled out. 3. patent ductus arteriosus, status post ligation on . 4. unconjugated hyperbilirubinemia. 5. apnea of prematurity. 6. anemia of prematurity. 7. left true vocal cord paralysis. 8. temporary renal insufficiency secondary to indomethacin administration. , procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances other phototherapy prophylactic administration of vaccine against other diseases umbilical vein catheterization other surgical occlusion of vessels, thoracic vessels diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition single liveborn, born in hospital, delivered without mention of cesarean section neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia patent ductus arteriosus anemia of prematurity other specified conditions originating in the perinatal period other preterm infants, 1,250-1,499 grams other disturbances of temperature regulation of newborn 29-30 completed weeks of gestation ostium secundum type atrial septal defect unspecified disorder of kidney and ureter other transitory neonatal electrolyte disturbances unilateral paralysis of vocal cords or larynx, complete 

Answer: The patient is high likely exposed to