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 33 weeks and 5/7 days gestation male admitted to the newborn intensive care unit for prematurity. mother with a past medical history notable for two deep venous colitis treated with prednisone and asacol. prenatal screens: o positive, antibody negative, hepatitis b surface antigen negative, rapid plasma reagin nonreactive, rubella immune, group b strep unknown. pregnancy history: intrauterine insemination pregnancy with gestational age of 33 weeks and 5/7 days pregnancy complicated by placenta previa resolving at 28 weeks gestation and by premature rupture of membranes 40 hours prior to delivery; yielding clear amniotic fluid. intrapartum antibiotic prophylaxis started 36 hours prior to delivery. no maternal fever or fetal tachycardia. proceeded to spontaneous vaginal vertex delivery under epidural anesthesia. neonatal course: the infant cried on transfer to warm and nasally bulb suction, dried, tactile stimulation provided. free flowing oxygen was administered in the first four minutes for questionable central cyanosis; subsequently pink and in no distress in room air. apgar scores were 7 at one minute 8 at five minutes. transferred uneventfully to the newborn intensive care unit. physical examination on presentation: examination was consistent with 33 weeks gestational age. birth weight was 1825 g (50th percentile), head circumference was 29.5 cm (25th percentile), length was 42 cm (25th percentile). heart rate was 145, respiratory rate was 58, temperature was 98.2, blood pressure was 60/28, with a mean of 39. sao2 was 100% on room air. head, eyes, ears, nose, and throat examination revealed anterior fontanel, soft and flat, nondysmorphic, palate intact. neck and mouth was normal. no nasal flaring. chest revealed mild retractions, now resolving. good bilateral breath sounds. no crackles. cardiovascular examination revealed well perfused. a regular rate and rhythm. femoral pulses were normal. normal first heart sound and second heart sound. no murmurs. the abdomen was soft and nondistended. no organomegaly. no masses. active bowel sounds. a 3-vessel cord. anus was patent. genitourinary revealed prepuce slight retracted and edematous with a question of mild chordae; this will be confirmed as edema resolves. testes were descended bilaterally. central nervous system revealed active, alert, and responsive to stimuli. tone revealed age appropriate. moved all limbs symmetrically with some contractures noted of arms and legs. gag, grasp, and moro were normal. skin was normal. musculoskeletal examination revealed normal spine, limbs, hips, and clavicles. hospital course by issue/system: 1. respiratory issues: the baby remained in room air without any respiratory distress. respiratory baseline rate was 30s to 40s. no apnea, bradycardia, or desaturations were noted. 2. cardiovascular system: the patient initially had a soft murmur. baseline heart rate was 130s to 150s. baseline blood pressures were 70s/30s with means in the 50s. the baby did not require any blood pressure support and has been cardiovascularly stable. murmur has resolved and was not detected on the discharge exam. 3. fluids/electrolytes/nutrition issues: the baby was initially started on peripheral intravenous fluids of d-10-w at 80 cc per kilogram. the baby had an initial dextrostick of 37 and required two dextrose boluses to achieve glucose values of greater than 50. subsequent values have been greater than 65 with no further issues. enteral feedings were introduced on day of life one. the baby progressed to full enteral feedings 150 cc/kg per day of breast milk 26. currently he has been ad lib feeding at the breast and being supplemented with expressed breast milk supplemented with enfamil powder to achieve 26 calories per ounce. we recommend supplementing with 3 bottles of bm26/day until weight gain improves and he approaches his birth percentile in weight of 50%. discharge weight was 2105gms, discharge length was 47 cm, and discharge head circumference was 33 cm. the baby is receiving supplemental iron, fer-in- 0.2 cc p.o. q.d. (which is 2 mg/kg per day). the baby goes to breast as well as takes three bottles per day with supplemental calories. current growth has been following the 10th percentile; warranting additional calories. initial electrolytes at 24 hours revealed sodium was 133, potassium was 4.3, chloride was 97, bicarbonate was 23. 4. gastrointestinal/genitourinary system: the baby did exhibit physiologic jaundice. blood type is o positive. coombs negative. peak bilirubin was on day of life three at 15.8/0.5; this responded to double phototherapy and ultimately single phototherapy with a rebound bilirubin on day of life nine of 6.9/0.36/0.6. because of the concern for a tightened foreskin and possible hypospadias, urology was consulted; dr. at the , who determined that this was not a hypospadias; it is a shortened foreskin with plan to follow up in six months. his telephone number is . the baby is voiding and stooling without issue. the parents will consider circumcision at that time. 5. hematologic issues: as stated above, the baby's blood type is o positive. coombs negative. the baby did not require any blood products during this admission. his admission hematocrit on was 55. because of maternal history of protein s deficiency, the recommendation would be to follow up with hematology in approximately six months. we recommend dr. , . 6. infectious disease issues: initially, the baby had a sepsis evaluation with a white blood cell count of 23.5 (49 polys, 0 bands), a platelet count was 200,000, and hematocrit was 55. a blood culture was sent. the baby was started on 48 hours of ampicillin and gentamicin. at 48 hours, cultures were negative. the baby clinically well, and the antibiotics were discontinued. he has had no further issues. 7. neurologic issues: the baby was appropriate for gestational age. the baby did not have a head ultrasound based on gestational age of greater than 32 weeks. 8. musculoskeletal system: the baby was noted to have decreased extension of the elbows -45 degrees, in knees of -40 degrees bilaterally. from occupational therapy has been working with him with gentle range of motion and has achieved positive 10 degrees of motion. she can be reached at the by calling the page operator at telephone number , beaper number . the plan would be to follow up with early intervention after discharge to continue physical therapy. 9. audiology issues: a hearing screen was passed. 10. ophthalmologic issues: eye examination not indicated based on gestational age of greater than 32 weeks. 11. psychosocial issues: the parents have been in visiting frequently. they are pleased that is transferring home and have been appropriately anxious during this admission. condition at discharge: condition on discharge was stable. discharge disposition: discharge disposition was home with family. primary pediatrician: primary pediatrician is dr. with bass river pediatrics (telephone number ; fax number ). care recommendations: 1. feedings: breast milk 26 supplemented with enfamil powder three bottles per day plus ad lib breast feeding. 2. medications: fer-in- 0.2 cc p.o. q.d. (which equals 2 mg/kg per day). 3. car seat position screening was passed prior to discharge. state newborn screening status: state newborn screens were sent on , , and at discharge, and in six weeks will be due on . immunizations received: hepatitis b vaccine on . 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 instructions/followup: 1. a follow-up appointment with dr. . 2. a follow-up appointment with dr. (urology) in six months (telephone number ). 3. a follow-up appointment with hematology to be scheduled via pediatrician/family in six months; dr. , . 4. early intervention referral; (). discharge diagnoses: 1. a former 33 weeks and 5/7 days premature male. 2. status post rule out sepsis with antibiotics. 3. status post physiologic jaundice. 4. tightened foreskin. dr dictated by: medquist36 d: 16:18 t: 16:59 job#: procedure: enteral infusion of concentrated nutritional substances other phototherapy prophylactic administration of vaccine against other diseases 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 other specified conditions originating in the perinatal period other preterm infants, 1,750-1,999 grams 33-34 completed weeks of gestation redundant prepuce and phimosis 

Answer: The patient is high likely exposed to