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: maternal history: mom is a 32-year-old gravida 2 para 1 now 2 woman from bermuda with a past medical history notable for hypothyroidism on levothyroxine and asthma on albuterol p.r.n. past ob history: notable for therapeutic abortion x2 and term normal spontaneous vaginal delivery in . that infant is alive and well. prenatal screens were as follows: maternal blood type o positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, gc negative, chlamydia negative, sickle cell negative. antenatal history: last menstrual period for an estimated date of delivery of and estimated gestational age of 26-2/7 weeks at delivery on the evening of at 11:25 p.m. this gestational age also confirmed by first trimester ultrasound. quad screen and full fetal survey were normal. pregnancy was complicated by cervical dilatation for which she was transferred and admitted to at 23 weeks gestational age. at that time, she completed a course of betamethasone and was started on magnesium sulfate tocolysis. she had been on bedrest since that time. on the day of delivery, she was noted to have increased cervical dilatation and early contractions and proceeded to cesarean section under spinal anesthesia for breech presentation. there was no intrapartum fever or other clinical evidence of chorioamnionitis. membranes were ruptured at delivery and yielded clear amniotic fluid. she received intraoperative antibiotic coverage only. the infant emerged with good tone and cried on transfer to the warmer. he was bulb suctioned and dried and given tactile stimulation. he received bag mask ventilation for 1-2 minutes for intermittent bradycardia with good response, then was intubated at 3 minutes uneventfully on initial attempt by nurse practitioner, . subsequently, the infant was pink in the 100% oxygen with mild intercostal retractions on spontaneous breath. apgars were 7 at 1 minute and 8 at 5 minutes of age. he was transferred uneventfully to the newborn intensive care unit. physical examination: on discharge, active, well appearing infant. anterior fontanel open and flat. lips, gums, palate intact. positive red reflex ou. chest symmetrical. breath sounds clear and equal bilaterally. abdomen soft, no hepatosplenomegaly. heart: regular rate and rhythm, no murmur auscultated. normal male genitalia. healing bilateral inguinal hernia repair sites, dry without redness or drainage. circumcision well healed. spine straight, no dimples noted. patent anus. infant moving all extremities, normal tone. hips stable and clavicles intact. left inguinal hernia repair site with small open scar. discharge weight: 3275 grams. head circumference: 34 cm. length: 47 cm. hospital course: 1. respiratory: upon admission to the newborn intensive care unit, was placed on conventional ventilation. he received a total of 2 doses of surfactant. he was noted to have a metabolic acidosis from day of life 3 to day of life 5, requiring several doses of sodium bicarbonate. acidosis most likely due to a patent ductus arteriosus. was weaned to prong cpap on day of life 29 and then weaned to nasal cannula oxygen by day of life 35 and then to room air by day of life 55. caffeine citrate was started on day of life 5 for apnea of prematurity and was subsequently discontinued on day of life 57. last bradycardia was on . he had completed five days without any significant apneic or bradycardic spells off of his caffeine citrate. 2. cardiovascular: has had a normal blood pressure throughout his nicu hospitalization and heart rates have been normal as well. an cardiac echo performed on day of life 3 showed a 2 mm patent ductus arteriosus for which he was treated with a single course of indomethacin. a followup echocardiogram on the 16th showed no patent ductus arteriosus. he did not require any fluid boluses or pressors to maintain his blood pressure. 3. fluid, electrolytes and nutrition. remained n.p.o. until day of life 7 at which time he was started on enteral feeds of breast milk at 10 cc per kilogram per day. he was advanced uneventfully to full volume feeds by day of life 18. he was advanced to a maximum volume of 150 cc per kilogram per day and to a maximum caloric density of breast mild enriched to 30 cals per ounce with beneprotein. his last set of electrolytes on showed a sodium of 136, potassium 5.2, chloride 102, bicarb 29. he is being discharged home on breast milk enriched to 24 calories per ounce with similac powder. he is ad lib demand feeding and breast feeding nicely. 4. gi: was started on phototherapy on day of life 2 for a total bilirubin of 5.9 with a direct component of 0.4. phototherapy was finally discontinued on day of life 20 with a rebound bilirubin on day of life 21 of 2.9/0.3. 5. of note, a left inguinal hernia was discovered on around day of life 22. that left inguinal hernia was noted to be incarcerated on day of life 26. the hernia was successfully reduced by surgery at that time. went for a bilateral inguinal hernia repair on . that surgery proceeded without complication. at that time, he also received a circumcision. on , his left inguinal hernia site dehised. he was seen by sugery. the wound was packed and allowed to close by secondary intention. the wound healed nicely and a small scar remains. when his wound dehised, he was initially treated with oxacillin and gentamicin, but after 4 day he was changed to a 7 day course of amoxicillin/clavulanic acid (augemtin). both hernia and circumcision sites are healing nicely. 7. hematology: blood type is o positive. he received a total of 2 blood transfusions during his stay in the newborn intensive care unit. his most recent hematocrit on was 31.1. 8. infectious disease: upon admission to the nicu, a cbc with diff and blood culture were drawn. his cbc showed a white blood cell count of 6000, hematocrit 47.8, 17% polys and 2% bands and a platelet count of 189,000. at that time, he was started on ampicillin and gentamicin. the blood culture that was drawn upon admission was negative and the ampicillin and gentamicin were discontinued after 48 hours. 9. neurology: has had three normal head ultrasounds. ultrasound dates were , and . his neurological exam is normal. 10. sensory: hearing screen was performed with automated auditory brain stem responses and passed in both ears. 11. ophthalmology: eyes were most recently examined on , revealing immature vessels in zone 2, no rop was noted at that time. a followup appointment needs to be scheduled for the week of . 12. psychosocial. social work has been involved with the family. the contact social worker can be reached at . condition on discharge: is stable in room air, tolerating full volume feeds and has been free of apnea of prematurity with a stable temp in the open crib. disposition: to home with parents. name of primary pediatrician is dr. in bermuda. phone number . until the parents travel back to bermuda in about a week's time, the baby will be covered by pediatrics. phone number . she will be covered by . care recommendations: feeds at discharge: ad lib demand feeds of breast milk or breast mild enriched to 12 cals per ounce. medications: will be discharged home on iron supplements and baby vitamins. 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 mild should receive vitamin d supplementation at 200 international units (may be provided as a multivitamin preparation) daily until 12 months corrected age. care seat position screening: failed his car seat test. he will be discharged in a car bed. stage newborn screening status: most recent screen sent on . no abnormal results have been reported. immunizations received: received his first hepatitis b vaccine on . he received his 2 month vaccination on . those two month vaccinations included pediatrix, prevnar vaccine and hib vaccine. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following 4 criteria: 1. born at less than 32 weeks. 2. born between 32-35 weeks with 2 of the following: daycare 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 rotavirus vaccine. the american academy of pediatrics recommends initial vaccination of preterm infants at or following discharge from the hospital if they are clinically stable and at least 6 weeks but fewer than 12 weeks of age. followup appointment has been scheduled with the primary pediatrician on . followup appointment with ophthalmology needs to be scheduled for the week of . discharge diagnoses: 1. prematurity at 26-2/7 weeks. 2. respiratory distress syndrome. 3. rule out sepsis. 4. patent ductus arteriosus. 5. hyperbilirubinemia. 6. apnea of prematurity. 7. bilateral inguinal heria repair 7. left inguinal hernia repair wound dehiscence. , md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation arterial catheterization other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells umbilical vein catheterization circumcision bilateral repair of inguinal hernia, not otherwise specified manual reduction of hernia diagnoses: other postoperative infection single liveborn, born in hospital, delivered by cesarean section need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition extreme immaturity, 750-999 grams respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery chronic respiratory disease arising in the perinatal period primary apnea of newborn neonatal bradycardia patent ductus arteriosus anemia of prematurity cutaneous hemorrhage of fetus or newborn other specified conditions originating in the perinatal period routine or ritual circumcision 25-26 completed weeks of gestation late metabolic acidosis of newborn inguinal hernia, with obstruction, without mention of gangrene, bilateral (not specified as recurrent) 

Answer: The patient is high likely exposed to