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 the former 1.63-kilogram product of a 31 and 3/7 weeks gestation pregnancy born to a 37-year-old gravida 3, para 1 (to 2) woman. prenatal screens revealed blood type o positive, antibody negative, rapid plasma reagin nonreactive, hepatitis b surface antigen negative, rubella immune, group b strep status negative. past obstetrical history: obstetric history was significant for spontaneous rupture of membranes which occurred after an amniocentesis at 24 and 3/7 weeks gestation. she was treated with betamethasone at that time. the leak re-sealed and she accumulated fluid. past medical history: 1. multiple allergies. 2. migraine headaches. 3. status post breast reduction surgery. 4. the mother also smokes half a pack of cigarettes per day. hospital course by issue/system: (including pertinent laboratory data) she was monitored closely. she was also known to have a chronic placental abruption. for the three days prior to delivery she was noted to have increased bleeding, and she was taken to cesarean section. the infant emerged with fair tone and spontaneous respirations. apgar scores were 7 at one minute of age and 8 at five minutes of age. he was admitted to the neonatal intensive care unit for treatment of prematurity. on physical examination upon admission to the neonatal intensive care unit, weight was 1.63 kilograms, length was 43 cm, and head circumference was 27 cm. in general, he was pale and poorly perfused with slow capillary refill. skin was without lesions. head, eyes, ears, nose, and throat examination revealed fontanel open and flat. symmetric facial features. the palate was intact. cardiovascular examination revealed a regular rate and rhythm without murmurs. chest examination revealed lungs were clear. the abdomen was soft and nontender. no masses. genitourinary revealed normal premature genitalia; right testicle not fully descended. spine was straight with intact sacrum. hips were stable. neurologic was nonfocal and age appropriate examination. 1. respiratory issues: required treatment for mild respiratory distress with continuous positive airway pressure. by day of life number one he had weaned to oxygen by nasal cannula, and he was on room air by day of life three. he also required treatment for apnea of prematurity with caffeine citrate. the caffeine was discontinued on , and his last episode of spontaneous apnea and bradycardia occurred on . 2. cardiovascular system: due to his poor perfusion at the time of birth, required two normal saline boluses. he showed rapid improvement in his blood pressure and perfusion. a soft intermittent murmur has been noted during admission. four-extremity blood pressures were within normal limits. the murmur was thought to be consistent with peripheral pulmonic stenosis. the murmur was not noted at the time of discharge. 3. fluids/electrolytes/nutrition issues: was initially nothing by mouth and maintained on intravenous fluids. enteral feeds were started on day of life one and gradually advanced to full volume. his mother had difficulty breast feeding due to the breast reduction, so he both breast fed and was fed expressed mother's milk. his maximum caloric intake was 28 calories per ounce. at the time of discharge, he was taking a minimum of 130 cc/kg per day of enfamil 24 calories per ounce or expressed breast milk with 4 calories added as enfamil powder. his weight on the day of discharge was 3.06 kilograms. electrolytes were checked within the first week of life and within normal limits. 4. infectious disease issues: due to the respiratory distress at the time of birth, was evaluated for sepsis. blood culture obtained prior to starting intravenous antibiotics was no growth at 48 hours, and the antibiotics were discontinued. there were no other infectious disease issues during admission. 5. hematologic issues: hematocrit at the time of birth was 40%. a low hematocrit was noted on at 24.2% with a reticulocyte count of 4.8%. his elemental iron dose was increased, and a repeat hematocrit on the day of discharge was 29% with a reticulocyte count of 3.1%. he was to be discharged home on supplemental iron. 6. gastrointestinal issues: required treatment for hyperbilirubinemia with phototherapy. his peak serum bilirubin occurred on day of life seven with a total of 12.8 mg/dl over 0.5 mg/dl direct. he received approximately three days of phototherapy. his rebound bilirubin on day of life 10 on was total bilirubin of 4.8 and direct bilirubin 0.3. also of note, had an umbilical stump granuloma that has been drying spontaneously and did not require treatment. 7. neurologic issues: has had two normal head ultrasounds in the first week of life, and again a repeat at one month of age. there were no neurologic concerns at the time of discharge. 8. sensory issues: hearing screening was performed with automated auditory brain stem responses. passed in both ears. 9. ophthalmologic issues: had his eyes examined twice during this admission. his most recent examination on showed mature retinas in both eyes with recommended ophthalmology followup at eight months of age. condition at discharge: condition on discharge was good. discharge status: discharge disposition was to home with parents. primary pediatrician: the primary pediatrician is dr. , , , . telephone number is . fax number is . care and recommendations at the time of discharge: 1. feeding: ad lib; oral or breast feeding. if being bottle fed, breast milk or enfamil 24 calories per ounce to breast milk with 4 calories of enfamil powder. 2. medications: ferrous sulfate 3. car seat position screening was performed. the infant was monitored for 90 minutes without oxygen desaturations or bradycardia. 4. state newborn screens were sent on , , and . the sample from was totally within normal limits. there have been no further notifications of abnormal results since the sample sent on . 5. immunizations received: hepatitis b vaccine was administered on . immunization recommended: synagis respiratory syncytial virus prophylaxis should be considered from through for infants who meet any of the following three criteria: (1) born at less than 32 weeks gestation; (2) born between 32 and 35 weeks gestation with plans for day care during respiratory syncytial virus season, with a smoker in the household, or with preschool siblings; or (3) with chronic lung disease. influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age. before this age, the family and other care givers should be considered for immunization against influenza to protect the infant. discharge instructions/followup: 1. followup with dr. within three days of discharge. 2. followup with pediatric ophthalmology at eight months of age. discharge diagnoses: 1. prematurity at 31 and 3/7 weeks gestation. 2. transitional respiratory distress. 3. suspicion for sepsis ruled out. 4. cardiac murmur. 5. apnea of prematurity. 6. anemia of prematurity. 7. unconjugated hyperbilirubinemia. 9. umbilical stump granuloma. reviewed by: , m.d. dictated by: medquist36 d: 19:22 t: 19:24 job#: procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy diagnoses: single liveborn, born in hospital, delivered by cesarean section observation for suspected infectious condition neonatal jaundice associated with preterm delivery primary apnea of newborn anemia of prematurity other preterm infants, 1,500-1,749 grams 31-32 completed weeks of gestation transitory tachypnea of newborn omphalitis of the newborn 

Answer: The patient is high likely exposed to