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: is a 31 and week gestational age infant, admitted to the neonatal intensive care unit for prematurity. her mother is a 37 year old, gravida iv, para i to ii, with past obstetrical history notable for cesarean section at term in the year , a spontaneous abortion in and again in . her past medical history is notable for anemia. prenatal screens: blood type a positive; antibody screen negative. hepatitis b surface antigen negative. rpr nonreactive. rubella immune. cf negative. gc negative. chlamydia negative. gbs unknown. antenatal history: estimated date of delivery by ivf dating. pregnancy was complicated by placental abruption. she was admitted on for vaginal hemorrhage and preterm labor, at which time she received betamethasone and tocolysis and was discharged home several days later. she was readmitted on and, on the day of delivery, progressed to repeat cesarean section for recurrent hemorrhage. rupture of membranes at time of delivery yielded clear amniotic fluid. there was no antepartum fever or other clinical evidence of chorioamnionitis. there was no intrapartum antibiotic therapy. neonatal course: the infant cried on transfer to warmer. she was orally and nasally bulb suctioned, dried and free flow oxygen provided for central cyanosis. infant established spontaneous respirations rapidly, with onset of mild subcostal retractions at 5 to 10 minutes of life. she remained pink in free flow oxygen. apgar scores were 8 at one minute and 8 again at five minutes. she was transferred uneventfully to the neonatal intensive care unit, in free flow oxygen. physical examination: physical examination at the time of admission was consistent with gestational age of 32 weeks. her birth weight was 2100 grams in the 90th percentile. her length was 45 cm, 75 to 90th percentile and her head circumference was 31 cm, 75 to 90th percentile. heart rate 164; respiratory rate 60 to 70; temperature 98.3; blood pressure 71/35 with a mean of 52. head, eyes, ears, nose and throat: anterior fontanel soft and flat, non dysmorphic, normocephalic, intact palate, mild nasal flaring. chest notable for mild subcostal retractions. intermittent mild grunting respirations. bilateral breath sounds with good aeration. no crackles. cardiovascular: capillary refill time 3 seconds. regular rate and rhythm. normal s1 and s2. no murmur. femoral pulses are normal. abdomen: soft, nondistended. no organomegaly, no masses. bowel sounds active. three vessel umbilical cord. patent anus. genitourinary: normal female genitalia. central nervous system: active, alert, responsive to stimulation, normal tone for gestational age; symmetric reflexes. integumen normal. musculoskeletal: normal spine, limbs, hips and clavicles. hospital course: respiratory: initially, the baby presented with mild respiratory distress. she was placed briefly in nasal cannula oxygen and weaned out within 12 hours of age and has been in room air for the remainder of her hospitalization. respiratory rate initially was notable for tachypnea with respiratory rate in the 80's which resolved over the first few days of life; now is in the normal range with comfortable breathing pattern. occasional apnea of prematurity was noted. there was no pharmacologic treatment for this. last episode was recorded on , over a week prior to discharge. cardiovascular: initially, baby required one normal saline bolus for mean blood pressures in the mid 30's. no medications were required for blood pressure support. baby has remained hemodynamically stable throughout the hospital course. fluids, electrolytes and nutrition: initially, the baby was placed on intravenous fluids of d-10-w. she required one d- 10-w bolus for a dextrose stick of 29. since that time, she has remained euglycemic as intravenous fluids were weaned and enteral feeds were initiated. full enteral feeds were achieved by day of life five with breast milk by gavage feeding. baby was noted to have some occasional reflux and feeds were extended over a period of one hour. metabolism: initial state screen was sent per protocol on day of life three. this came back with an elevated tyrosine level at greater than 79. a repeat tyrosine level was requested by the state laboratory and that, too, came back elevated. an endocrine consult was obtained from . dr. consulted on this baby. additional laboratory studies were obtained to determine whether this was tyrosinemia type i, type ii or type iii. additional laboratory studies obtained were liver function tests, coagulation studies, serum ammonia, serum amino acids, urine organic acids and urine succinyl acetone. the urine succinyl acetone was sent to and that study was negative. in type i tyrosinemia, the urine succinyl acetone is elevated and this ruled out type i tyrosinemia. a repeat tyrosine level was obtained on and that result is pending. the tyrosine levels have gradually decreased with serial levels. the liver function tests were normal. bun of 12; creatinine of .4; alt of 6; ast of 16; alkaline phosphatase of 220. pt and ptt were also noted to be in the normal range. arterial blood gas did not reveal acidosis. during the time in which the baby was being evaluated for this, her feeds were cut to half volume and she was given supplemental intravenous fluids with electrolytes to maintain hydration. she resumed full enteral feeds after the negative urine succinyl acetone study was obtained on day of life 16. she continues to breast feed with some bottle supplementation of expressed breast milk. she takes volumes of 130 to 140 cc per kg per day, plus breast feeding. gastrointestinal: baby had physiologic jaundice and received phototherapy from day two with a peak serum bilirubin of 11.2 over 0.3 on day of life three. phototherapy was discontinued on day five, with a rebound bilirubin of 9.7 over 0.3. on and , a serum bilirubin was obtained for clinical jaundice and was found to be 12.4 over 0.3, likely representing breast milk jaundice at this time. hematology: baby had an initial cbc drawn upon admission to the newborn intensive care unit, revealing a white count of 11.3 with 15 polys and 0 bands; hematocrit 48.4 percent and platelets of 203,000. there were no blood products received during this time. infectious disease: blood culture was also obtained upon admission and infant received 48 hours of ampicillin and gentamycin, which were discontinued 48 hours after negative cultures and an improved clinical course. neurology: screening head ultrasound was obtained on day of life 11, which was reported to be a normal study by the radiologist at . sensory: audiology screening was performed utilizing automated auditory brain stem responses and baby passed in both ears. ophthalmology: a retinopathy screen was performed on by dr. and revealed immature retina to zone three. a follow-up was recommended in three weeks. psychosocial: this family has been very involved in this baby's care and was followed by the social worker in the unit, who may be reached at . condition on discharge: good. discharge disposition: to home. primary pediatrician: , m.d., in . telephone number is . medications on discharge: none at this time. car seat position screening: performed prior to discharge and baby passed. immunizations: immunizations received during this hospitalization included hepatitis b vaccine, given on . immunizations recommended: synagis rsv prophylaxis should be considered from to 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 two of the following: day care during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities or school age siblings. or, 3.) with chronic lung disease. influenza immunization is recommended annually in the fall for all infants once they reach six 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. follow up: 1. with primary pediatrician, dr. . 2. follow-up appointment with metabolism, with dr. - unyuen, telephone number , page number , one month after discharge. 3. follow-up ophthalmology examination with dr. in mid . due to the breech presentation, hip ultrasound is recommended to screen for developmental dysplasia of the hip. discharge diagnoses: 1. prematurity at 31 and 4/7 weeks. 2. rule out sepsis. 3. transient respiratory distress. 4. physiologic jaundice. 5. tyrosinemia. 6. breech presentation with risk for developmental dysplasia of the hips. dictated by: procedure: 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 observation for suspected infectious condition neonatal jaundice associated with preterm delivery other preterm infants, 2,000-2,499 grams other respiratory problems after birth 31-32 completed weeks of gestation 

Answer: The patient is high likely exposed to