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 boy is a former 25-2/7 week male born to a 36-year-old gravida 2, para 1, a positive, antibody negative, group b strep unknown, hepatitis b surface antigen negative, rapid plasma reagin nonreactive past medical history: past medical history remarkable for chronic hypertension (treated with aldomet). past obstetrical history: past obstetric history includes the delivery of a term male, now five years old, alive and well. this pregnancy was notable for an elevated maternal serum alpha-fetoprotein, normal level to ultrasound on . mother was admitted to on for management of hypertension and was transferred to the on at 23-2/7 weeks for continued management. here, she received treatment with labetalol, magnesium sulfate, and hydralazine. she received a course of betamethasone which was complete on . preeclampsia was diagnosed on the day of delivery with onset of epigastric pain. this was treated with demerol and hydroxyzine prior to delivery by cesarean section under spinal anesthesia. the baby was intubated in the delivery room after positive pressure ventilation with bag and mask. he responded to this, was pink, and the endotracheal tube was inserted without difficulty. apgar scores were 2 at 1 minute, 6 at 5 minutes, and 7 at 10 minutes. the baby was transferred to the intensive care unit (via incubator with hand bagging without incident) for care for this extremely premature infant. physical examination on presentation: an extremely premature infant with nondysmorphic features, anterior fontanel soft, fused eyes, intact palate, coarse breath sounds, with fair entry from ventilator. no murmur. no gallop. flat, soft, and nontender abdomen without hepatosplenomegaly. normal phallus, testes, and canal bilaterally. femoral pulses were present. stable hips. normal tone and activity for gestational age. hospital course by system: 1. respiratory: the baby was initially placed on ventilator settings of 22/5 and a rate of 25, weaned down to 30% oxygen and had an initial blood gas of 7.37/37/52. he received two doses of surfactant and required intubation until day of life 35, at corrected gestational age of 30-2/7 weeks when he transitioned to cpap. he remained on cpap until day of life 57 when he was transitioned to nasal cannula oxygen. by day of life 104, he transitioned to room air. he did require oxygen with feedings after the transition, but as of discharge, this has not been necessary for several days. he was started on methylxanthine treatment of caffeine on day of life five and remained on this until 36-2/7 weeks gestational age. at the time of discharge, he has been free of apnea and bradycardia for five days. 2. cardiovascular: the baby did not require pressor support initially. on day of life three, a patent ductus arteriosis was diagnosed clinically and was treated with one course of indomethacin. the murmur resolved, and on day of life 19 a murmur was again evident. this prompted a cardiac echocardiogram which showed a small restrictive posterior descending artery. this was not treated, has resolved, and he currently is cardiovascularly stable with no issues. his baseline heart rate is 150s to 170s, and his baseline blood pressure is 80 systolic, 30 to 40 diastolic with means in the 50s. 3. fluids/electrolytes/nutrition: initially, he had an umbilical arterial line and double lumen umbilical venous catheter. the umbilical artery line was removed on day of life two. he was started on parenteral nutrition on day of life one. intralipids were subsequently added. a peripherally inserted percutaneous central catheter line replaced his double lumen umbilical venous catheter for nutritional support, and enteral feedings of trophic feeds at 10 cc/kg were started on day of life six. he received one feeding prior to noting a distended abdomen in conjunction with respiratory acidosis and hyperglycemia which required an insulin bolus. a kub was done which showed a fixed loop. serial kubs were followed. there was no evidence of pneumatosis. it improved, and bowel rest continued until enteral feedings were re-introduced on day of life 10. he advanced to full enteral feedings by day of life 18 of breast milk without issue. caloric density was increased to 30 calories with additional promod added. he continued on additional caloric feedings, and then based on his growth he has weaned down to breast milk ad lib, with intake greater than 140 cc/kg per day. because weight gain dropped off with weaning to unsupplemented breast milk in the past week, we re-instituted 24 kcal/oz supplementation 2 days prior to discharge, a caloric density at which he has previously gained well. he is voiding and stooling without issue. his birth weight was 705, his birth length was 32.75, and his head circumference was 23 cm; all appropriate for gestational age in the 25th percentile. at discharge, his weight is 3955 grams, length is 53 cm, and his head circumference is 35 cm. these are all greater than the 75th percentile; appropriate for gestational age. he is receiving supplemental iron via fer-in- at 0.5 cc p.o. q.d. which equals 3 mg/kg per day, and poly-vi- 1 cc p.o. q.d. 4. gastrointestinal: the baby did exhibit physiologic jaundice in the first weeks of life. his peak bilirubin was 5.4/0.5. he responded initially to double and then to single phototherapy with his rebound bilirubin of 3.2/0.4/2.8. he required sodium supplements for hyponatremia. these were discontinued on day of life 46. his last set of electrolytes on were sodium of 137, potassium 5.3, chloride 104, bicarbonate 26. albumin of 3.5, calcium of 10.4, and phosphorous of 6.7. 5. hematology: the baby is a positive, negative. he required two packed red blood cell transfusions during this hospitalization. his last hematocrit on was 27 with a reticulocyte count of 8.6. this was prior to his last transfusion on . 6. infectious disease: he initially had a sepsis evaluation with a white blood cell count of 4.7 (13 polys, 0 bands, 76 lymphocytes), platelets of 170, and a hematocrit of 51.8. he had a blood culture sent and was started on 48 hours of ampicillin and gentamicin. his complete blood counts were serially followed and when he had his episode of distended abdomen and dilated loop on day of life six, he had a white blood cell count of 7.1 (with 46 polys, 1 band, and 36 lymphocytes), platelets of 32, and a hematocrit of 43.3. at that time a culture was sent which also remained negative, but he did receive seven days of vancomycin and gentamicin. on day of life 65, he demonstrated a temperature of 100.3. a sepsis evaluation was done at that time which was benign. he did not receive antibiotics on that occasion. he has received nystatin orally and topically to a diaper rash and oral thrush. this was discontinued on day of life 96. on , he had some nasal secretions prompting a tracheal aspirate to be sent for respiratory syncytial virus. this was negative for respiratory syncytial virus, but the cell culture was consistent with cytomegalovirus infection, likely an incidental finding and not contributing to his symptoms. the cytomegalovirus was confirmed on urine culture. the source of this colonization is unclear, as it is somewhat late for congenitally acquired infection to be detected, but a post-natal source is not evident. in any case, he has had none of the signs that might be worrisome for symptomatic congenital disease. in particular, his ophthalmologic examination did not show evidence of retinitis, serial cranial ultrasounds were unremarkable, his size at birth was normal, and two hearing screens have been normal. maternal serology is pending at the time of discharge. should this be negative, it would confirm post-natal acquisition, but it would not be informative if positive. 7. neurology: neurologically, he has had serial head ultrasounds which were within normal limits with no intraventricular hemorrhage and no periventricular leukomalacia. his neurologic examination is appropriate for gestational age. he does not demonstrate any clonus. 8. sensory/audiology: initial hearing screen was passed on . after the incidental finding of cytomegalovirus, he had a repeat hearing screen that was also within normal limits. 9. ophthalmology: he had serial eye examinations; the last one being on which demonstrated mature retinae and mature vessel development with a plan to repeat eye examination in six to eight months. 10. psychosocial: parents are an intact family. mother and father have visited frequently. social worker, , has followed this family. the parents are appropriately anxious around transition home. she can be reached with any questions via the paging system (beeper number ). condition at discharge: condition on discharge was stable. discharge status: home with family. primary pediatrician: name of primary pediatrician is dr. (telephone number ). care recommendations: 1. continue ad lib feeding of breast milk supplemented to 24 kcal/oz with formula. weaning to unsupplemented breast milk might be considered in 2 weeks time. 2. medications as stated above poly-vi- 1 cc p.o. q.d., fer-in- 0.5 cc p.o. q.d. (which equals 3 mg/kg per day). 3. car seat screening passed. 4. given the uncertain nature of the cytomegalovirus infection, repeat auditory screening is recommended. the first screen will be arranged prior to discharge, for 2 months time. state screen: state screens serially done per routine with the last one being within normal range. immunizations received: hepatitis b vaccine on and , dtap on , ipv on , hiv on , pcv7 on ; parents have immunization book. the plan is to give synagis prior to discharge. 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 plans for day care during respiratory syncytial virus season, with a smoker in the household, or with preschool siblings; and/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 care givers should be considered for immunization against influenza to protect the infant. discharge followup scheduled/recommended: 1. follow up with dr. per routine for primary care. 2. visiting nurse via care group home care. 3. early intervention through regional development program (telephone number ). 4. infant followup through the infant followup program at the . 5. ophthalmology followup in six to eight months with dr. (telephone number ). discharge diagnoses: 1. former 25-2/7 week premature male. 2. status post respiratory distress syndrome. 3. status post posterior descending artery, treated with indomethacin. 4. status post physiologic jaundice. 5. cytomegalovirus, probably post nasally acquired. 6. status post presumed sepsis with ileus. 7. status post apnea and bradycardia of prematurity. 8. anemia of prematurity. , m.d. dictated by: medquist36 d: 16:49 t: 16:07 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung parenteral infusion of concentrated nutritional substances insertion of endotracheal tube arterial catheterization other phototherapy prophylactic administration of vaccine against other diseases diagnoses: single liveborn, born in hospital, delivered by cesarean section need for prophylactic vaccination and inoculation against viral hepatitis respiratory distress syndrome in newborn neonatal hypoglycemia neonatal hypoglycemia extreme immaturity, 500-749 grams hemolytic disease of fetus or newborn due to other and unspecified isoimmunization transitory ileus of newborn 

Answer: The patient is high likely exposed to