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 girl - is a 34 week premature infant admitted to the newborn intensive care unit with prematurity. the infant was born on to a 37 year old gravida 5, para 1 to 2 mother at 34 weeks positive, hepatitis b surface antigen negative, rpr nonreactive, rubella immune and group b streptococcus unknown. prenatal course is notable for the following: 1. maternal hypertension, presumed secondary to a combination of chronic hypertension and preeclampsia. 2. history of poor fetal growth and maternal treatment with betamethasone approximately three weeks prior to delivery secondary to and pain secondary to fibromyalgia treated with multiple medications including lidocaine injections. 4. development of oligohydramnios and subsequent plan for induction. 5. positive maternal urine toxicology screen for cocaine, amphetamines and barbiturates. previous maternal history notable for prior delivery of a 30 week premature infant in . medical history as above, notable for severe migraines and fibromyalgia. delivery occurred following induction secondary to oligohydramnios. rupture of membranes occurred 13 hours prior to delivery and mother received antibiotics the first 15 hours prior to delivery. infant was delivered vaginally with apgar scores of 8 and 9. no significant resuscitation was needed. the patient was noted to have moderate work of breathing with a notable significant oxygen requirement upon arrival in the neonatal intensive care unit and was placed on cpap. physical examination on admission: weight was 1785 gm or 10th to 25th percentile, head circumference 30.5 cm 25th to 50th percentile and length was 41 cm, 10th to 25th percentile. vital signs were within normal limits with the patient on cpap with oxygen requirement of 30 to 40%. the patient was active and vigorous. fontanelles were flat, open and soft. red reflex was present bilaterally. palate was intact. chest sounds were coarse but well aerated. mild to moderate retractions were present. cardiac was regular rate and rhythm without murmur. abdomen was soft, nontender without hepatosplenomegaly. umbilical cord revealed three vessels. extremities were warm and well perfused. the left hand was somewhat swollen and bruised. the hips were stable. lumbosacral area was normal. genitalia were normal. tone and activity were appropriate. hospital course: respiratory - the patient was maintained on cpap approximately 48 hours following which time the patient was weaned to room air. since day of life #2 the patient has been stable, breathing comfortably in room air without need for supplemental oxygen or notable respiratory distress. cardiovascular - the patient has been hemodynamically stable throughout admission without the need for blood pressure support. no evidence of patent ductus arteriosus developed. fluids, electrolytes and nutrition - the patient was is maintained on intravenous fluids with stable blood sugars. enteral feeds were begun on day of life #2 and were taken orally from the start. the volumes of feedings were gradually advanced to full feeds. subsequently the calories were increased to 26 cal/oz and supplemental iron was added. at the time of discharge, the patient has been taking neosure 26 cal/oz formula orally with adequate volumes and as demonstrated appropriate weight gain. weight on , two days prior to discharge is 1770 gm, increasing steadily over the past several days. on it was 1840. hc was 30.5 cm. lth was 41.5 cm. infectious disease - initial complete blood count revealed a white count of 22 with a benign differential, hematocrit of 52% and platelets of 247. blood culture was sent and subsequently has been negative. ampicillin and gentamicin were given 48 hours pending negative cultures and benign clinical course. gastrointestinal - the patient exhibited mild hyperbilirubinemia of prematurity and received phototherapy for several days. neurological - the patient was noted to be somewhat jittery for the first several days of life. urine toxicology screen on the infant revealed barbiturates which are consistent with maternal medication use. absence scores were followed and in the first several days of life ranged between 3 and 8. on day of life #4 onwards the absence scores were basically 0 and the infant exhibited no further signs of withdrawal. of note, no medications were administered for the early symptoms of mild withdrawal. social - social work was involved, given the maternal history in addition to the positive toxicology screens. dss was involved and a 51a was filed. social work and dss worked actively with the family and at the time of discharge the dss case is still open but the family maintains custody. substantial supports have been arranged for the mother and the family. sensory - hearing screen was performed with automated auditory brain stem responses and passed bilaterally. discharge condition: at the time of discharge he is cardiovascularly stable and breathing comfortably on room air. the infant is tolerating feeds of neosure 26 cal/oz oral, substantial volumes with normal urine and stool output. the infant is gaining weight. discharge disposition: the infant is discharged to the care of the family. primary care physician: . , phone . care recommendations: 1. feeds - neosure 26 cal/oz. neosure recommended to 6 to 9 months of record age. calories may be adjusted based on the infant's growth. 2. medications - fer-in-, provide additional 2 mg/kg/day of iron. 3. carseat - test passed. 4. state newborn screening sent on , and again on , results pending at time of this dictation. 5. immunizations the infant has received - hepatitis b immunization #1. 6. follow up appointments - he will follow up with primary pediatrician, dr. two days following discharge. in addition to early interventional referral and visiting nurse have been arranged. in addition dss social worker will follow up with the family as well. discharge diagnosis: 1. prematurity 34 weeks 2. mild hyperbilirubinemia of prematurity, resolved 3. mild respiratory distress, resolved 4. sepsis evaluation, resolved 5. positive maternal urine toxicology screens 6. history of maternal drug use , m.d. dictated by: medquist36 d: 16:30 t: 20:57 job#: procedure: other phototherapy diagnoses: observation for suspected infectious condition single liveborn, born in hospital, delivered without mention of cesarean section neonatal jaundice associated with preterm delivery other preterm infants, 1,750-1,999 grams drug withdrawal syndrome in newborn 

Answer: The patient is high likely exposed to