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: bay is a 35 wk ga infant (bw 3210 gm), born to a 38- year-old g1 mother whose type was o positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, pregnancy was complicated by twin conception by ivf with demise of 1 twin at 8 weeks gestation. maternal history was also notable for hypothyroidism which was treated with synthroid during the pregnancy. mother also has a history of celiac disease. the infant delivered on at by spontaneous vaginal delivery. the infant emerged stunned, pale without respiratory effort. he received bag mask ventilation x1 minute with good response and good color change. the heart rate was always over 100. there was nuchal cord at the perineum. apgars were 1 and 7 at 1 and 5 minutes. the infant was brought to the nicu, pale with tachypnea for further evaluation. gbs unknown status. mother received antibiotics 12 hours prior to delivery and had a maternal temperature of 100.4 during labor. no meconium was noted in the fluid. physical examination: birth weight of 3210 grams which is greater than 90th percentile; length of 49 cm which is 75th to 90th percentile; head circumference 32.75 cm which is 50th percentile. the infant had an initial low pressure of 42/26 with a mean of 30 and received two normal saline boluses which improved the pressure. the infant was active, pink and had large caput, unable to assess if there is a cephalohematoma present at the time, infant palate, pale, pink, normal s1 and s2, very soft murmur was appreciated in the lower sternal border. breath sounds clear and equal. mild tachypnea with mild intercostal subcostal retractions. abdomen soft, nontender, nondistended. no masses. no bowel sounds appreciated. extremities: with good perfusion. hips stable. spine intact. testes descended. bilateral hydroceles. summary of hospital course by systems: respiratory: infant admitted to nicu due to prematurity and s/p perinatal distress. admitted breathing room air and remained on room throughout nicu courase. he had occasional apnea/ bradycardiaand desaturations at rest as well. his most recent bradycardia was on . he received a 5-day spell free count prior to discharge. he has not required any methylxanthine therapy. cardiovascular: the infant had an intermittent murmur day of life 1 through to day of life 7, not audible day 7. no indication for further cardiac evaluation. hr and bp are wnl. fluids, electrolytes and nutrition: the infant rx with iv fluids on admission to the nicu, but allowed to breast feed given the quick resolution of transient perinatal distress s/p delivery. infant increased po feedings, weaned from iv fluids by day 2. infant feeds ad lib po breast milk or breast feeding and being supplemented with similac 20 with iron as needed s/p bf in nicu. he feeds po and bf well. good weight gain. wt on day of discharge is 3080 gm. voiding and stooling normally. he had electrolytes measured at 24 hours of life and none since. those were within normal limits. gastrointestinal: the infant had hyperbilirubinemia with a peak bilirubin level of 15.3. the infant was started on phototherapy and given a total of 48 hours of phototherapy. the most recent bilirubin level was 10.9/0.3 on day of life 7 which is . hematology: his hematocrit at birth was 38.9% with a platelet count of 261k. follow up hematocrit was done at 24 hours of life showing a hematocrit of 35.4% and platelet count of 236k. no further hematocrits have been measured. the infant is pink and well perfused. no products have been given. it has been felt that the hematocrit was low due to the tight nuchal cord. no typing has been done on this infant. infectious disease: cbc and culture was screened on admission to the nicu. cbc was within normal limits. the infant received 48 hours of ampicillin and gentamycin which were subsequently discontinued when cultures remained negative. the infant has had no further infectious disease concerns. neurology: the infant has maintained a normal neurologic examination for gestational age but does have a small sacral dimple, closed. sensory: audiology - hearing screen was performed with automated auditory brain stem responses and the infant passed in both ears. psychosocial: a social worker has been in contact with the family. there are no ongoing psychosocial issues at this time but if there are any concerns she can be reached at . condition on discharge: good. discharge disposition: home with the family. name of primary pediatrician: dr. . telephone no.: . care recommendations: 1. ad lib po feedings by breast with supplementation of breast milk or similac 20 with iron as needed. 2. medications: none. 3. car seat position screening was performed. the infant passed in an upright position in the car seat without any desaturations. 4. state newborn screens were sent on day of life 3 and the results are pending. 5. immunizations received: the infant received hepatitis b vaccine on . 6. immunizations recommended: 7. synagis rsv prophylaxis should be considered from through 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: 8. daycare during the rsv season. 9. a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings. 10. with chronic lung disease. 1. 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. follow up appointment is planned for with the pediatrician, dr. . the infant will need follow up studies for the sacral dimple as an outpatient. no studies have been done while in the nicu. discharge diagnoses: 1. prematurity. 2. large for gestational age infant. 3. hypovolemia, resolved. 4. sepsis, ruled out. 5. sacral dimple, ongoing. 6. hyperbilirubinemia. resolving 7. anemia at birth. nothing to do at this poing. recomend occasional monitoring by ped. , md dictated by: medquist36 d: 02:22:53 t: 03:50:02 job#: procedure: parenteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases circumcision diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition single liveborn, born in hospital, delivered without mention of cesarean section neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia anemia of prematurity other "heavy-for-dates" infants 35-36 completed weeks of gestation other preterm infants, 2,500 grams and over routine or ritual circumcision other transitory neonatal electrolyte disturbances other compression of umbilical cord affecting fetus or newborn 

Answer: The patient is high likely exposed to