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: , twin number two, is a 34 and week gestational age, twin number two, admitted to the neonatal intensive care unit for prematurity. mom is a 33 year old, gravida iii, para ii, now iv, woman with a past obstetric history notable for normal spontaneous vaginal delivery of female infants in and . past medical history: noncontributory. prenatal screen: blood type a positive, antibody negative. rpr nonreactive. rubella immune. hepatitis b surface antigen negative and group beta strep status unknown. pregnancy history: mom's last menstrual period was for estimated date of confinement of and estimated gestational age of 34 and 4/7 weeks. this pregnancy was complicated by diamniotic, dichorionic twin gestation. fetal anatomic survey was normal times two. mom presented at 30 weeks with preterm labor of undetermined etiology, although possibly related to exertion. this was treated with tocolysis and betamethasone at that time. by yesterday, cervical dilatation was noted in the obstetrician's office and labor was allowed to progress following admission to . membranes were ruptured at delivery, yielding clear amniotic fluid. no maternal fever or fetal tachycardia. intrapartum antibiotics were administered eight hours prior to delivery. external version for transverse lie, then delivered by spontaneous vaginal delivery under epidural anesthesia. neonatal course: infant was hypotonic and apneic at delivery but with a normal heart rate. orally and nasally bulb suctioned, dried and received tactile stimulation, then bag and mask positive pressure ventilation provided for approximately one minute, followed by onset of spontaneous respirations and resolution of cyanosis. apgars were four at one minute and eight at five minutes of age. bruising of the leg was noted in the delivery room. the infant was transferred to the neonatal intensive care unit without incident. physical examination: birth weight 1,980 grams (25th to 50th percentile). head circumference 31 and cms (25th to 50th percentile). weight 33 cms (25th to 50th percentile). heart rate of 180; respiratory rate of 70; blood pressure 45/25 with a mean arterial pressure of 34. oxygen saturation 94% in room air. anterior fontanel soft, and flat, non dysmorphic features. lips, gums and palate intact. mild nasal flaring. neck and mouth normal. no grunting, flaring or retracting. good breath sounds bilaterally. no crackles. cardiac: slightly prolonged capillary refill time; femoral pulses normal; normal s1, s1, no murmur. abdomen: soft, nondistended, no organomegaly. bowel sounds active. anus patent. normal female genitalia. infant active, responding appropriately to stimuli. normal tone for gestational age. moving all limbs symmetrically with normal suck, gag, grasp and moro reflexes. skin: mild bruising of lower limbs. musculoskeletal: normal spine, moving all extremities. hips stable and clavicles intact. hospital course: 1.) respiratory: has been in room air throughout her hospitalization. she has not required any supplemental oxygen or respiratory support. she has had occasional apnea and bradycardia of prematurity, the last episode on . she has not been started on any methylzanthines. 2.) cardiovascular: blood pressure was initially low upon admission to the neonatal intensive care unit. she received two normal saline boluses for blood pressure support with a good response. her blood pressure since has been normal and she has not required blood pressure support with vasopressors. no murmurs have been auscultated. 3.) fen: upon admission to the newborn intensive care unit, fluids of d-10-w at 80 cc per kg were initiated. enteral feeds were initiated on day of life one, at 30 cc/kg per day. she advanced uneventfully to full volume feeds of 24 calories of breast milk at 150 cc/kg per day. she is taking some p.o. feeds but mostly gavage feeds, given over one hour to minimize spitting. her weight, at the time of transfer, is 1,935 grams. electrolytes on day of life one revealed a sodium of 144; potassium of 4.8; chloride of 114 and total c02 of 24. 4.) gastrointestinal. peak bilirubin on day of life three was a total bilirubin of 9.5 with a direct of 0.3, at which time phototherapy was initiated. phototherapy was discontinued on day of life number five, for a bilirubin of 7.0 over 0.2. a rebound bilirubin on day of life six was 7.5 over 0.3. there have been no further issues of hyperbilirubinemia. 5.) hematocrit upon admission to the neonatal intensive care unit was 48. she has not received any blood products throughout her hospitalization. 6.) infectious disease: a cbc with differential and blood cultures were drawn upon admission to neonatal intensive care unit. white cell count was 12,000; hematocrit of 48%; platelet count of 254,000 with 29% polys and 2 bands. received a 48 hour course of ampicillin and gentamicin. blood cultures were negative. infant has been without clinical signs of infection throughout her neonatal intensive care unit course. 7.) neurology: head ultrasound was not indicated for this 34 and weeker. 8.) sensory: hearing screen has not been performed. 9.) ophthalmology examination not indicated for this infant. 10.) psychosocial: social worker has been involved with the family. the contact social worker can be reached at . both parents are involved and very loving of both twins. condition at time of transfer: infant stable in room air and tolerating enteral feeds. stable temperature in open crib. discharge disposition: transfer to hospital via ambulance. name of primary pediatrician: , m.d. of health care center, phone number . care recommendations: feeds at transfer: breast milk 24 calorie at 150 cc/kg per day. medications: iron supplements. car seat position screening has not been done. state newborn screening status: the infant's first newborn screen was sent on of . no abnormal results have been reported. immunizations received: has not received any immunizations as of . immunizations recommended: 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 plans for daycare during rsv season, with a smoker in the household or with preschool siblings. 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 caregivers should be considered for immunization against influenza to protect the infant. discharge diagnoses: prematurity at 34 and 4/7 weeks. rule out sepsis. physiologic jaundice. mild apnea of prematurity. dr., 50-466 dictated by: medquist36 procedure: other phototherapy gastric gavage diagnoses: observation for suspected infectious condition neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia cutaneous hemorrhage of fetus or newborn other preterm infants, 1,750-1,999 grams 33-34 completed weeks of gestation twin birth, mate liveborn, born in hospital, delivered without mention of cesarean section malpresentation before labor affecting fetus or newborn 

Answer: The patient is high likely exposed to