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: is a former 1.070 kg product of a 29-2/7 week gestation pregnancy born to a 41- year-old g7, p2, now three woman. prenatal screens: blood type o positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, group b strep status unknown. the pregnancy was notable for in- fertilization conception. the mother experienced increased blood pressures and had 2 plus proteinuria. she was admitted on for management of hypertension with magnesium sulfate. she received betamethasone on and . the mother was monitored for ongoing concerns for restricted fetal growth. the estimated fetal weight was at the 10th percentile. prior obstetrical history is notable for spontaneous vaginal deliveries in and . also mother treated for hypothyroidism with synthroid. delivery was undertaken for concern for fetal heart rate decelerations noted on monitoring. delivery was by cesarean section for breech positioning. apgars were 7 at 1 minute and 8 at 5 minutes. baby required intubation in the delivery room for respiratory distress and apnea. he was transported to the neonatal intensive care unit for treatment of respiratory distress and prematurity. physical exam upon admission to the neonatal intensive care unit: weight 1.070 kg, length 38 cm, head circumference 37 cm, all 25th percentile for gestational age. general: intubated preterm male, no obvious dysmorphisms. head, eyes, ears, nose, and throat: anterior fontanel open and flat, orally intubated, symmetric facial features. palate intact. positive red reflex bilaterally. chest: equal breath sounds with diffuse crackles, fair aeration. cardiovascular: regular, rate, and rhythm without murmur, normal s1, s2, femoral pulses plus 2. abdomen is soft, nontender, no masses. gu: preterm male genitalia. testes undescended. spine straight with intact sacrum. moving all extremities. neurologic: tone and reflexes consistent with gestational age. hospital course by systems including pertinent laboratory data: 1. respiratory: was treated with two doses of surfactant. his maximum ventilatory settings were a peak inspiratory pressure of 24 over a positive end expiratory pressure of 5, intermittent mandatory ventilatory rate of 25, and 40 percent oxygen. he weaned to low settings, and was extubated to continuous positive airway pressure on day of life two. he required reintubation on day of life three for frequent episodes of apnea. he remained on the ventilator through day of life 12. he was extubated to continuous positive airway pressure with supplemental o2 from day of 12 through 32. he was on nasal cannula o2 from day of life 32 to 41, when he weaned to room air. date of his transition to room air was . he was treated for apnea of prematurity with caffeine. his caffeine was discontinued on . his last episode of apnea occurred on . at the time of discharge, he is breathing comfortably on room air with respiratory rates 40-60x/minute. 1. cardiovascular: an intermittent murmur was noted from the second week of life of approximately two months of age. was noted to have consistently elevated blood pressures with systolics greater than 100 mm hg during the middle of . a cardiac echocardiogram was performed on that showed good biventricular function. a small patent foramen ovale and otherwise structurally normal heart. a renal ultrasound was performed, which was within normal limits. he had a consultation with the renal service from . he initially received several doses of hydralazine, which was ineffective and he was changed to captopril, which has required titration of is dosing. at the time of discharge, he was on 0.2 mg orally 4x daily. on the day of discharge this was increased to 0.3 mg 4x daily. the goal is to have his systolic blood pressures under 100 mm hg. the contact person with the renal team is dr. , and he can be reached through paging system, , beeper number or office number is . vna will be coming to the house to perform daily bp measurements over the weekend. dr has been asked that these be called to him for titration of medication dosing. 1. fluid, electrolytes, and nutrition: was initially npo and maintained on intravenous fluids. enteral feeds were started on day of life number three and gradually advanced to full volume. he had a percutaneously inserted central catheter for parenteral nutrition, which was discontinued when he reached full feeds, which was on day of life 15. he was advanced to a maximum of 30 calories/ounce with additional promod protein supplement. at the time of discharge, he is ad lib feeding or breast feeding taking in 400-500 cc daily. serum electrolytes were checked frequently during admission and were all within normal limits. the most recent set were checked on and showed na 141 k 4.8, cl 104 hco3 22, bun 5 and creatinine 0.1. his discharge weight is 3.165 kg with a length of 47.5 cm and a head circumference of 37 cm, which notably is above the 90th percentile. a hus done on was normal as were all previous studies. 1. infectious disease: due to the unknown group b strep status and his respiratory distress, was evaluated for sepsis at the time of admission. a white blood cell count was 4,700 with a differential of 22 percent polys, 2 percent bands. a blood culture obtained prior to starting intravenous antibiotics was no growth and initial course of antibiotics was stopped at 48 hours. he was noted to have a reddened periumbilical area and was again recultured on day of life 14. he received a seven day course of oxacillin for presumed omphalitis. the blood culture at that time was also no growth. 1. hematological: hematocrit at birth was 51.8 percent. he did not receive any blood products during admission. his low hematocrit was 28 percent on . most recent hematocrit was on at 31.2 percent with a reticulocyte count of 2.4 percent. 1. gi: required treatment for unconjugated hyperbilirubinemia with phototherapy. his peak serum bilirubin occurred on day of life three, a total of 7.8/0.3 mg/dl direct. he required phototherapy for approximately one week. his phototherapy was discontinued on day of life 10 with a rebound bilirubin of 3.7, total over 0.4 mg/dl direct. also had bilateral inguinal hernias, which were repaired at on . he had a circumcision performed at that time also. dr performed the surgery. 1. neurology: has had four normal ultrasounds during admission, most recently on . as noted with his discharge growth parameters, his head circumference is 37 cm, which is greater than the 90th percentile. he has a normal neurological exam at discharge and there are no current neurological concerns. 1. sensory: audiology. hearing screening was performed with automated auditory brain stem responses. passed in both ears. ophthalmology. eyes were most recently examined on and retinas were found to be mature. recommended followup with dr. , ophthalmology is recommended at age eight months. 1. psychosocial: social work was involved with this family. the contact person is , and she can be reached at . condition at discharge: good. discharge disposition: home with the parents. the primary pediatrician is dr. , medical associates, , , , phone number . care and recommendations at the time of discharge: feeding: ad lib breast feeding or expressed mother's milk ad lib p.o. medications: ferrous sulfate 25 mg/ml dilution 0.6 ml p.o. once daily, poly-vi- 1 ml p.o. once daily, captopril oral suspension 0.3 mg p.o. 4x daily. car seat position screening was performed. was observed for 90 minutes in his car seat without any episodes of bradycardia or oxygen desaturation. state newborn screens were sent on , and with no report of abnormal results. immunizations received: hepatitis b vaccine on and . diphtheria, acellular pertussis, hemophilus influenza b on , and injectable polio vaccine and pneumococcal 7-valiant conjugate vaccine on . immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the three criteria: 1. born at less than 32 weeks, 2. born between 32 and 35 weeks with two of three of the following: daycare during the 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 appointments scheduled or recommended: renal, dr. , office or page through , beeper number . he should be consulted if systolic blood pressure is consistently over 100 mm hg. planned followup in one month after discharge with dmsa scan. serum electrolytes should be checked within one week of discharge. primary pediatrician within five days of discharge. pediatric ophthalmology at eight months of age. will be checking blood pressure daily. discharge diagnoses: prematurity at 29-1/7 weeks gestation. respiratory distress syndrome. suspicion for sepsis ruled out twice. apnea of prematurity. anemia of prematurity. omphalitis. bacterial conjunctivitis. unconjugated hyperbilirubinemia. hypertension of unknown etiology. macrocephaly. , dictated by: medquist36 d: 07:21:03 t: 08:13:14 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube other phototherapy prophylactic administration of vaccine against other diseases circumcision other and open bilateral repair of direct inguinal hernia diagnoses: single liveborn, born in hospital, delivered by cesarean section observation for suspected infectious condition respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery primary apnea of newborn 29-30 completed weeks of gestation ostium secundum type atrial septal defect other preterm infants, 1,000-1,249 grams omphalitis of the newborn 

Answer: The patient is high likely exposed to