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: baby girl was born on at 10:22 p.m. as the 1345 gram product of a 31-5/7 week gestation pregnancy to a 40 year-old gravida iv, para i to ii mother with estimated date of confinement of . prenatal laboratory studies included blood type ab positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune and group b strep unknown. maternal history was notable for a recent diagnosis of breast cancer, s/p surgical excision and incomplete radiation therapy that was halted when the pregnancy was diagnosed. amniocentesis during this pregnancy was within normal limits. pregnancy was complicated by preterm premature rupture of membranes and preterm labor resulting in maternal admission on . she received a course of betamethasone which was completed on . mother was treated with terbutaline but then the day of admission developed a nonreassuring fetal heart tracing as well as fever and signs of chorioamnionitis prompting cesarean section delivery. mother was treated with antibiotics prior to delivery and by the time of delivery had had ruptured membranes for over 24 hours. infant was born by cesarean section and emerged vigorous with apgar scores of 9 and 9. he was brought to the neonatal intensive care unit for further management of prematurity. physical examination on admission: weight was 1345 grams, 25th percentile. length was 41.5 cm, 50th percentile, and head circumference was 26.5 cm, 10th percentile. initial vital signs notable for room air saturations of approximately 85 to 95% that improved with blow by oxygen. infant was active and vigorous with mild increased work of breathing. she was pink and well perfused without rashes or bruises. fontanelles were soft and flat. ears and nares were normal. palate was intact. red reflux was present bilaterally. neck was soft and supple without lesions. chest was essentially clear with mild retractions. heart was regular rate and rhythm without murmurs or gallops. femorals were 2+ and symmetric. abdomen was soft without hepatosplenomegaly, without palpable masses and with quiet bowel sounds. umbilical cord was normal with 3 vessels. genitalia were that of a normal preterm female. anus was patent. back and hips were normal. extremities were without lesions. tone and activity were appropriate. reflexes were grossly intact. hospital course by systems: 1. respiratory: infant required blow by oxygen briefly upon admission but quickly weaned to room air. minimal work of breathing was noted on admission which quickly resolved. since that time infant has been stable in room air without notable work of breathing. infant did have rare desaturation and apnea spells over the first 1 to 2 weeks of life, but by the time of discharge no spells had been noted for over 10 days. 2. cardiovascular: the patient was hemodynamically stable throughout admission without evidence of low blood pressure or concerns for a ductus arteriosus. no murmur was heard on examination. 3. fluids, electrolytes and nutrition: birth weight was 1345 grams. infant was initially maintained on iv fluids and parenteral nutrition with the introduction of enteral feeds on day of life 2. enteral feedings were advanced without difficulty to a maximum of 150 cc of per kilo per day of 28 calorie premature enfamil formula. oral feedings were introduced at 34 weeks corrected gestational age and advanced without difficulty. with good weight gain calories were gradually reduced and by the time of discharge infant is feeding enfamil 26 calorie formula made with enfamil powder and 2 calories per ounce of corn oil on ad lib basis. infant is taking approximately 200 cc per kilo per day without difficulty with normal urine and stool output. of note, infant was treated briefly with prune juice for mild constipation but this was discontinued as the stool output improved. infant was treated with vitamin e while in the neonatal intensive care unit but this was discontinued by the time of discharge. weight at discharge is 2195 grams. 4. gastrointestinal: the patient did experience mild hyperbilirubinemia requiring phototherapy. peak bilirubin was 8.0/0.3 on day of life 2. phototherapy was continued intermittently for approximately 7 days. 5. heme: initial hematocrit was mildly elevated at 61. patient was begun on iron supplementation after reaching full enteral feeds. no further hematocrits were measured and at the time of discharge infant is pink and well perfused on examination. 6. infectious disease: cbc and blood culture were sent on admission. cbc included a white count of 7.1 with 44% polys and 0% bands and a platelet count of 153. ampicillin and gentamicin were begun and were discontinued at 48 hours with negative cultures and benign clinical course. no other infectious disease issues were seen during admission. 7. neurology: a head ultrasound was performed at 1 week of age that was normal. the infant has maintained a normal neurologic examination throughout admission. an eye examination was performed on that revealed immature retinas in zone 3. a repeat eye examination in the first week of is recommended. 8. metabolic: the patient's initial newborn screen sent on was normal. however, a second newborn screen sent on was notable for an elevated leucine level which could be consistent with maple syrup urine disease. a metabolism consult was obtained and plasma amino acids were sent on . these revealed a normal leucine level but elevated tyrosine and threonine levels. elevated tyrosine level could be consistent with tyrosinemia and repeat plasma amino acids were sent on . these results are pending at the time of discharge ( lab control ). of note, a repeat newborn screen on was within normal limits. overall the metabolism services feels these results are not indicative of metabolic disease. routine health care maintenance: first hepatitis b vaccine was given on . synagis was given on . hearing screen was passed bilaterally on . car seat safety screening was pending at the time of this dictation. condition on discharge: stable. discharge disposition: home. name of primary pediatrician: dr. , pediatrics in . phone #. care and recommendations: 1. diet: enfamil 26 calorie per ounce formula made with 4 calories per ounce of enfamil powder and 2 calories pre ounce of corn oil. 2. medications: fer-in- 0.2 ml p.o. q day in a 25 mg per ml solution. 3. recommended immunizations: synagis rsv prophylaxis should be considered from through for infants who meet any of the following 3 criteria: 1) born at less than 32 weeks; 2) born between 32 and 35 weeks with 2 of the following: day care during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities or school age siblings; 3) with chronic lung 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. 4. follow up appointments: infant should follow up with pediatrician within 2 to 3 days of discharge. will be made for 2 to 3 days of discharge. infant will also need to see an ophthalmologist for a repeat eye examination in the first week of (dr. , ). discharge diagnoses: 1. prematurity at 31-5/7 weeks. 2. hyperbilirubinemia. 3. sepsis evaluation. , md procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances 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, 1,250-1,499 grams 31-32 completed weeks of gestation 

Answer: The patient is high likely exposed to