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 boy is a 2.315 kg product of a 35 week gestation twin pregnancy who was admitted to the intensive care unit for respiratory distress. he was born to a 32 year old gravida 1, para 0 to 2 mother. prenatal screens include blood type 0 positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, group b streptococcus negative. her pregnancy was by in fertilization and was otherwise uncomplicated. mother presented at one day of delivery in spontaneous labor. there was no maternal fever, no prolonged rupture of membranes. clear amniotic fluid at delivery. maternal anesthesia by epidural, she progressed to vaginal delivery. this infant had apgars of 8 and 8. twin b was a baby girl who did well and went to the nursery. physical examination: physical examination on admission to the nursery revealed a pink well developed, pre-term baby boy, notable for intermittent grunting exacerbated by agitation. his skin was clear, free from rashes. his head was normocephalic. anterior fontanelle was open and flat. eyes were normally set, red reflex deferred. nondysmorphic facies with intact palate. thorax notable for grunting, flaring and retractions. lungs, clear aeration throughout. heart, regular rate and rhythm, no murmur. abdomen, soft nontender, nondistended. active bowel sounds. cord clamped. normal male external genitalia with descended testes, patent anus, smooth spine. extremities, moves all equally, clavicles intact. hips without clicks. symmetric reflexes present. hospital course: respiratory - initially tachypnea was noted with respiratory rates in the 100s to 130s. chest x-ray was obtained which revealed expansion to 10 ribs and fluid notable in the fissure, consistent with retained fetal lung fluid. heart size was normal. the baby remained in room air with comfortable tachypnea with decreasing work of breathing over the first 24 hours, remained in room air at 24 hours of age with respiratory rates now in the 40s to 50s, well saturated, over 90 percent. cardiovascular - the baby has aps in 120s to 150s, normal blood pressure 55/26 with a mean of 38. no murmur appreciated. fluids, electrolytes and nutrition - the baby initially was breastfed but due to tachypnea was made npo and placed on intravenous fluids of d10/w with dextrose sticks in the 100 range. after 24 hours, the baby was restarted on feeds and has been comfortably p.o. feeding, taking between 25 and 40 cc of expressed breastmilk with similac 20 without difficulty. the baby has been voiding and stooling normally. heme/infectious disease - initial complete blood count notable for white count of 13.6 with 59 polys, 3 bands, 29 lymphocytes. hematocrit 47.2 percent, 321,000 platelets. blood culture was also obtained and ampicillin and gentamicin initiated. he continues on ampicillin and gentamicin pending negative cultures and resolution of symptoms. neurology - hearing screen needs to be performed prior to discharge. condition: condition at time of transfer to the nursery is good. primary pediatrician: , . care/recommendations: state screen - screen should be obtained on day of life no. 3. immunizations received - hepatitis b vaccine has not yet been given. discharge disposition: birthweight 2315, 20th to 50th percentile, length 44.5 cm, 25th percentile, head circumference 33 cm, 75th percentile. the patient is being transferred to the nursery at the time of this dictation for continued routine care, screening, and to be with his family. dictated by: procedure: 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 neonatal jaundice associated with preterm delivery other preterm infants, 2,000-2,499 grams 35-36 completed weeks of gestation ventricular septal defect routine or ritual circumcision transitory tachypnea of newborn twin birth, mate liveborn, born in hospital, delivered without mention of cesarean section 

Answer: The patient is high likely exposed to