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: this baby is being transferred to today for repair of bilateral inguinal hernias, removal of post axial polydactyly of both hands and feet and circumcision. is a 44 day old, former 30 week triplet born to a 30 year old gravida 2, para 0, now 3 mother with prenatal screens as follows, blood type b positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group b streptococcus unknown. pregnancy was complicated by cervical funneling with admission at 21 4/7 weeks for bedrest. this pregnancy was conceived by in fertilization, notable for triplet pregnancy as before. mother was treated on bedrest for preterm labor and tocolysis was provided with terbutaline and indomethacin. she was also treated with magnesium sulfate and received a full course of betamethasone at 24 weeks. progressive cervical changes and preterm labor prompted a cesarean delivery on . rupture of membranes was at delivery with clear fluids. this infant had an initial heart rate of over 100, had some respiratory effort but was cyanotic and responded slowly to blow-by oxygen. he was given stimulation and bag mask ventilation. he was noted to have poor aeration and was therefore intubated with a 3-0 endotracheal tube with improvement in color and air movement. apgars were noted to be 4 at one minute and 7 at five minutes. he voided and stooled in the delivery room and was shown to parents and brought to the neonatal intensive care unit with bag tube ventilation. physical examination: physical examination on admission revealed an orally intubated premature male infant, pink with mild retractions. his weight was 1270 gm which is the 25th to 50th percentile, head circumference 28 cm 50th percentile and length 40.5 cm 50th percentile. temperature was 95.6 degrees, pulse 160, respiratory rate 42 and blood pressure 37/26 with a mean of 129. his oxygen saturation was 100 percent. in general he is a small premature infant in respiratory distress. head, eyes, ears, nose and throat, anterior fontanelle open, soft and flat, nondysmorphic, red reflex was deferred. the nares were patent. palate was intact orally and intubated. chest with poor aeration before survanta which improved after administration of surfactant notable for intercostal retractions. cardiovascular, no murmur, normal pulses, brachials and femorals equal. abdomen, soft, loopy active bowel sounds. three vessel cord, clamped, no hepatosplenomegaly. genitourinary, normal male genitalia, testicles noted to be in canals. patent anus. musculoskeletal, no hip click, clavicles intact. post axial polydactyly with six digits on each hand and each foot noted in the delivery room. skin notable for mongolian spot on the buttocks. neurological, normal tone, symmetric reflexes. hospital course: respiratory - was admitted to the neonatal intensive care unit orally intubated, placed in spontaneous intermittent mandatory ventilation with maximum settings of 20/5 and a rate of 25 in 30 percent oxygen. he had a blood gas which revealed a ph of 7.29, 45, pao2 44. he received two doses of surfactant and weaned to cpap 5 cm in room air by day of life 1. he continued on prong cpap to day of life 2. he continues in room air. he had mild apnea of prematurity with occasional desaturations noted. he did not receive methylxanthine treatment for this. he has not had any spells for over two weeks at the time of transfer. cardiovascular - initially the infant was noted to be hypotensive and received normal saline bolus, 10 cc/kg times two with improvement in perfusion and blood pressure. he was noted on day of life 1 to have a murmur and was treated with indomethacin for a patent ductus arteriosus which was noted by echocardiogram to have left to right flow 2 mm in size. he completed his initial course of indomethacin and a repeat echocardiogram on , showed that the ductus was indeed closed. he continues with an intermittent murmur and remained cardiovascularly stable with blood pressures ranging with systolics from 66 to 74/diastolics of 34 to 43 with mean blood pressures 51 to 61. fluids, electrolytes and nutrition - the infant was maintained npo until cardiorespiratory stability was established. fluids were provided via double lumen umbilical venous catheter of d10/w. dextrose sticks were 48 which improved to 68, requiring increased dextrose concentration on day of life 1 for a dextrose stick of 37. this issue resolved. parenteral nutrition of d15 via the white blood cells and interlipids. continued on parenteral nutrition as enteral feeds were started and then advanced. enteral feeds were initiated on day of life 5 following affirmation of closure of patent ductus arteriosus. they were started at 20 cc/kg with breastmilk and advanced 10 cc/kg b.i.d. electrolytes were followed during this transitional time and were noted to be in the normal range. full enteral feeds were achieved by day of life 11 with breastmilk. calories were increased with human milk fortifier and increased to a maximum of breastmilk 28 with promod, currently he is feeding breastmilk 26 cal/oz with promod p.o. p.g. the day prior to transfer he was noted to take all feedings by mouth with total fluids of 150 cc/kg/day. stooling pattern initially was noted to be mucousy and green with some positive guaiac stools during the period which the infant was npo. feeds were initiated as noted and advanced without incident with normal stooling pattern and guaiac negative stools. nutrition laboratory data were obtained and noted to be in the normal range. gastrointestinal - this infant was placed under phototherapy on day of life 1 for a bilirubin of 7.6/0.3. this was the peak bilirubin for this baby. phototherapy continued until day of life 8 and was shut off for a bilirubin of 4.7/0.3, checked the following day was minimally increased, this issue resolved. hematology - an initial complete blood count was done upon admission notable for a white count of 11.8 with 10 neutrophils, 7 bands, 1 meta and 1 myelocyte. hematocrit was 44.5 percent, 178,000 platelets. 24 hours later the white count was increased to 36 with 66 polys and 0 bands. the baby received a blood culture, was started on ampicillin and gentamicin upon admission. due to the severity of illness and concern regarding the left shift in the initial complete blood count, the ampicillin and gentamicin were continued for seven days. gentamicin levels were obtained and were in the normal range. a lumbar puncture was performed on day of life 4 with consent from the parents and revealed chemistries in the normal range and cell counts in the normal range and this culture remained negative, and meningitis was ruled out. hematologically the infant received no blood products during this hospitalization. he was started no iron and vitamin e on day of life 13 as enteral feeds were advanced to caloric density. he continues on those medications at the time of transfer. his last hematocrit was done on which is day of life 27, it was 34.1 percent at that time. infectious disease also included treatment for monilial diaper rash with nystatin powder, that was discontinued on . neurology - three head ultrasounds were performed on day of life 7 and also at day of life 30, both studies were normal. due to concern for the post axial polydactyly, a genetics consult was obtained. the genetics consult concluded that the infant probably has the common variant, autosomal dominant polydactyly, and because of the concern for prematurity issues and other problems, they recommended a head ultrasound and karyotype. ultrasounds were normal as noted, and chromosomes were reported to be 46xy. plastic surgery was also consulted for the post axial polydactyly and dr. will be joining the surgical team in the operating room at for removal of same. sensory - audiology, hearing screening was performed with automated auditory brain stem responses and infant passed the hearing screen bilaterally. ophthalmology, immature eyes were noted on initial retinal screen which was performed on , day of life 32, immature to zone 3 in both eyes. a follow up examination is recommended for three weeks from that date. psychosocial - a social worker was involved with this family. contact social worker's name is and she may be reached at . condition on discharge: good. discharge disposition: to for surgery. primary pediatrician: , md. care and recommendations: feedings at time of transfer are breastmilk 24 calorie with human milk fortifier 4 cal/oz. medications include human milk fortifier 4 cal/oz, mct oil 2 cal/oz each feeding and promod 0.5 tsp per 100 cc of breastmilk each feeding, iron ferrous sulfate 0.2 ml p.o. or p.g. each day, vitamin e 5 iu by mouth each day. immunizations received, none to date. discharge diagnosis: prematurity. triplet no. 1 at 30 3/7 weeks. respiratory distress. patent ductus arteriosus, status post one course of indomethacin. presumed sepsis. physiologic jaundice. mild apnea of prematurity. anemia of prematurity. post axial polydactyly. bilateral inguinal hernia. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung insertion of endotracheal tube non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases circumcision bilateral repair of inguinal hernia, not otherwise specified ligation of dermal appendage diagnoses: neonatal jaundice associated with preterm delivery anemia of prematurity other respiratory problems after birth other preterm infants, 1,250-1,499 grams 29-30 completed weeks of gestation other multiple birth (three or more), mates all liveborn, born in hospital, delivered by cesarean section inguinal hernia, without mention of obstruction or gangrene, bilateral (not specified as recurrent) polydactyly of fingers polydactyly of toes 

Answer: The patient is high likely exposed to