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: baby girl was born to a 33 year old, gravida viii, para iii to iv mother, with prenatal laboratory studies significant for blood type ab positive, hepatitis b surface antigen negative; rpr nonreactive; rubella immune; antibody screen negative; gbs status unknown. this pregnancy was complicated by preterm labor. there was no maternal fever and rupture of membranes was at the time of delivery, as this was an elective repeat cesarean section, in the setting of preterm labor. apgars were eight and nine at one and five minutes respectively and birth weight was 2,490 grams. family hx. notable for mother and her son having balanced translocation of chromosomes 4 and 13; mother also has daughter with unbalanced translocation of chromosomes 4 and 13. this daughter () is followed by genetics and neurology at . physical examination: her admission physical examination revealed a well appearing, slightly preterm, female infant; consistent with her history of gestation 35 and 4/7 weeks. her birth weight was 2490 grams; her length was 46 cm and her head circumference was 33 cm. her head and neck examination was significant for anterior fontanel that was open and flat and a palate that was intact. her chest was clear to auscultation bilaterally. heart revealed a regular rate and rhythm with no murmur. her femoral pulses were 2 plus and her capillary refill time was less than 2 seconds. her abdomen was soft, nondistended, without hepatosplenomegaly and with bowel sounds present. her genitourinary examination revealed a normal preterm female external genitalia with a patent anus. her back was without clefts, or dimples. her neurologic examination was normal for her gestational age. hospital course: 1. respiratory: baby girl was briefly on nasal cannula oxygen but transitioned to room air by about eight hours of life and has remained stable on room air since that time. she had only one apnea and bradycardia event, which occurred on day of life four, , and one desaturation which occurred on day of life seven, during a period of periodic breathing. she has never been on caffeine therapy. she will need to be monitored for at least five days without further desaturations prior to discharge. 1. cardiovascular: baby girl () has been cardiovascularly stable throughout her hospital course. she has never had a murmur or abnormal blood pressures. 1. fluids, electrolytes and nutrition: baby girl was initially held n.p.o. on total fluids of 60 cc per kg per day. within the first 24 hours of life, she was allowed to begin enteral feeds of and her total fluids were gradually advanced to the present level of 140 cc per kg per day. over the first five days of life, the patient would take only minimal p.o. feeds. at most, 5 to 10 cc orally per feeding. she received the remainder of her feeds by gavage. she was fed with in light of a family history of cow's milk allergy in other siblings, but due to the parents concern that she did not like the taste of , she was also tried on similac. this failed to improve her ability to bottle feed so she was again switched to . she has never demonstrated feeding intolerance, but it was quite concerning that she had such an inability to take oral feeds at her gestational age, so further work-up was proceeded. this included a neurology consult, who felt that her examination was normal and did not recommend further evaluation. a feeding team consult was attempted, but they were unable to see her in the initial days of difficult p.o. feeding and then her oral intake spontaneously improved. she was also seen by the genetics team in light of her sister's history of unbalanced chromosomal translocation and chromosomes are pending at the time of this summary.preliminary report from cytogenetics lab at is that there is an abnormality of the chromosomes, but does not appear to be the same as that of the mother and sib of this patient. fish evaluation is pending. we will forward results to , dr. , and genetics when final results are knowm. baby girl weight at the time of discharge is 2300 grams. she spontaneously improved her p.o. intake and, at the time of transfer, is taking about volume feeds p.o. (30cc/feed). ~50cc/feed would be considered full volume per feed. 1. gastrointestinal: baby girl had one bilirubin checked on day of life three which was 8.2 with a direct component of 0.3. she did not show clinical evidence of jaundice, thereafter, so this was not rechecked. 1. hematology: admission hematocrit was 51.4 percent. the patient has not required any blood products during her hospitalization. 1. neurology: baby girl does not fit criteria to require screening head ultrasounds. she was seen by the neurology team as described above, for inability to p.o. feed. a head ultrasound was done at the time of the neurology consult, which was normal. 1. genetics: baby girl has a family history of a balanced translocation of chromosomes four and 13 in her mother. 9 year old sister has an unbalanced translocation, as she is missing chromosome 13 and has pulmonary stenosis, epilepsy and cleft palate resulting. she has a healthy brother who also has a balanced translocation. in light of her family history and because of her difficulties feeding, chromosomes were sent on her on and are pending at the time of transfer. other than chromosomes, the genetic team did not recommend any further work-up. 1. sensory: at the time of transfer, baby girl has not had her hearing screen. 1. health care maintenance: patient received hepatitis b vaccine on . she is to undergo a car seat test prior to discharge. condition on discharge: good. discharge disposition: to , level ii nursery. primary pediatrician: , m.d., . care recommendations: baby girl is feeding 20 at 140 cc per kg per day po/pg and advancing on p.o. feeds. she is on no medications at the time of transfer. she still needs car seat testing prior to discharge. a state screen has been sent. she received her hepatitis b vaccine on and does not quality for synagis rsv prophylaxis. discharge diagnoses: prematurity at 35 and 4/7 weeks. immature feeding. rule out sepsis, resolved. cold, md procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances 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 other preterm infants, 2,000-2,499 grams 35-36 completed weeks of gestation other respiratory problems after birth neonatal candida infection conditions due to anomaly of unspecified chromosome 

Answer: The patient is high likely exposed to