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: maternal history: mother is a 36 year old gravida ii, para 0-ii woman with past medical history notable for uterine fibroids and infertility. prenatal screens: b positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, gbs unknown. pregnancy history: last menstrual period , for estimated date of delivery of , with ega 29 and 5/7 weeks. in utero insemination pregnancy with diamniotic dichorionic twin gestation. pregnancy complicated by gestational diabetes mellitus initially controlled with diet but requiring insulin for the week prior to delivery. cervical shortening with preterm labor noted at 22 weeks gestation leading to admission at . betamethasone course was complete at 26 weeks, . fetal survey normal in both twins. on magnesium sulfate, but noted to have bulging membranes with presenting foot and progressed to cesarean section for breech/breech presentation under spinal anesthesia. membranes ruptured at delivery yielding clear amniotic fluid, no maternal fever or fetal tachycardia intrapartum. neonatal course: the infant emerges weak cry and developed apnea and bradycardia, responsive to bulb suctioning of copious secretions, tactile stimulation, dry and brief positive pressure, bag and mask ventilation. subsequently pink with moderate retractions and brief oxygen. the infant with examination consistent with 29 weeks, birth weight 1535 grams, 75th to 90th percentile, head circumference 28.25 centimeters, 50th to 75th percentile, length 40 centimeters, 50th to 75th percentile. discharge weight 1875 grams, length 42 centimeters, head circumference 29.5 centimeters. physical examination: on admission, physical examination nondysmorphic male. palate intact. neck and mouth normal. nasal flaring prior to intubation. chest - moderate retractions with spontaneous breaths, good excursion with imv but requiring significant inspiratory pressure of 25 to 30 centimeters of water. fair breath sounds bilaterally. scattered coarse crackles. cardiovascular - well perfused, regular rate and rhythm, femoral pulses normal, s1 and s2 normal, no murmur. the abdomen is soft, nondistended, no organomegaly, no masses. bowel sounds active. patent anus. three vessel umbilical cord. genitourinary normal male genitalia. testes descended bilaterally. central nervous system - active, responsive to stimulation. tone slightly decreased for gestational age in symmetrical distribution. moving all extremities symmetrically. gag, grasp present. skin normal. musculoskeletal normal spine, limbs, hips and clavicles. hospital course: the baby as stated above required intubation and received two doses of surfactant. started on 26/5 and a rate of 25. weaned to settings of 20/6 and rate of 18 and was transitioned to cpap on day of life eight. remained on cpap until day of life 12 when he transitioned again to nasal cannula 100% oxygen, less than 25 ccs which he is currently requiring. he was started on caffeine on day of life eight, did receive a bolus on , with an increase in his dose to the current dose of 15 mg p.o. once daily which equals 8 mg/kg/day. his baseline respiratory rate is 40s to 60s and he has an occasional episode of apnea and bradycardia. cardiovascular - the baby had an initial presumed patent ductus arteriosus and was started on first course of indomethacin which was completed on day of life three. on , his echocardiogram showed a moderate patent ductus arteriosus with left to right flow. he started on his second course of indomethacin. he completed his second course of indomethacin and had a repeat echocardiogram on , which showed a small patent ductus arteriosus. he persists with a soft murmur with stable heart rate of 140s to 170s and blood pressure of 71/40 with a mean of 51. he has had episodes in room air and we hope that he will wean to room air. fluid, electrolytes, and nutrition - initially the baby was npo with a peripheral intravenous. he was started on pn and intralipid on day of life one. he had a central picc line placed on , which was removed on , without incident. the baby was started on enteral feedings on day of life eight and advanced to full feeds by day of life fifteen without incident. he then had his caloric density increased. he is currently at breast milk 28 with promod. he is due for nutritional laboratories this week. his last set of electrolytes on , were sodium 139, potassium 4.7, chloride 100, bicarbonate 28. gastrointestinal - the baby did demonstrate physiologic jaundice. his peak bilirubin was on day of life three at 10.8 over 0.4/10.4. he responded to phototherapy. phototherapy was discontinued on , and he had a rebound bilirubin on , of 5.3 over 0.4. hematology - the baby is b positive, negative. he received one blood transfusion during this admission on day of life five for a hematocrit of 29.0. his last hematocrit on , was 36.6. infectious disease - the baby initially had blood culture and complete blood count sent with a white count of 12.7, 21 polys, 0 bands, 73 lymphocytes and platelet count of 291,000. admission hematocrit was 40.8. he had blood cultures sent and was started on ampicillin and gentamicin. at 48 hours, the baby was clinically stable and cultures remained negative. antibiotics were discontinued. he has had no further issues with infection. neurology - head ultrasound on day of life six was within normal limits. the baby has an examination that is clinically appropriate for his aga. sensory - audiology screening has not been done to date. ophthalmology examination - eye examination has not occurred to date. psychosocial - the parents look forward to moving closer to home. condition on transfer: stable. discharge disposition: to . primary pediatrician: medical group, , , telephone number . care recommendations: 1. continue breast milk 28 with promod at 150 cc/kg. the baby is primarily pregnant. 2. medications - caffeine citrate 15 mg p.o. once daily which equals 8 mg/kg/day. fer-in- 0.15 cc p.o. once daily which equals 2 mg/kg/day. vitamin e 5 international units p.o. once daily. 3. car seat positioning screening has not been done to date. 4. state newborn screen - initial screen was sent on , and repeat on , and were within range, and six week is due on . 5. immunizations received - none to date. 6. immunizations recommended - synergist rsv prophylaxis should be considered from through for infants who meet any of the following three criteria: a. born at less than 32 weeks. b. born between 32 and 35 weeks with plans for day care during rsv season, with smoker in household or with preschool siblings. c. 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 or other caregivers should be considered for immunization against influenza to protect the infant. follow-up appointments: primary care physician per routine, early intervention and consider visiting nurse. discharge diagnoses: 1. former 29 and week twin b male. 2. status post respiratory distress syndrome. 3. status post patent ductus arteriosus. 4. status post rule out sepsis with antibiotics. 5. status post hyperbilirubinemia. dr dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy diagnoses: observation for suspected infectious condition twin birth, mate liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal bradycardia patent ductus arteriosus unspecified fetal and neonatal jaundice 29-30 completed weeks of gestation pulmonary hemorrhage 

Answer: The patient is high likely exposed to