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 twin boy was admitted to the newborn intensive care unit for observation of respiratory distress and prematurity. he was delivered at 35 and 3/7 weeks and weighed 2.25 kg. he was the second twin delivered to a 33-year-old g1, now 2 mother. prenatal screens - o positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, group b strep unknown. pregnancy was notable for spontaneous twins. all had been going well earlier in the week of delivery; however, concerns regarding discordant growth emerged. a follow up assessment was consistent with continued concerns regarding discordant growth and a decision was made to deliver the twins on . maternal past medical history: significant for hypothyroidism treated with levoxyl. she also had a post surgical history of wisdom teeth surgery and her other medications aside from levoxyl were prenatal vitamins. there were no prenatal sepsis risk factors identified. no maternal fever. rupture of membranes occurred at the time of delivery with clear fluid. maternal anesthesia by spinal. apgars of 8 and 9 were assigned and after routine newborn resuscitative care in the delivery room, this infant was noted to have respiratory distress with grunting, flaring and retracting. he was taken to the newborn intensive care unit for management. physical examination: physical examination upon admission includes weight 2.25 kg, which is at the 25 to 50th percentile; length 44.5 cm, 25 to 50th percentile. summary of hospital course by systems: respiratory: initially the baby was placed on cpap at 6 cm, requiring 25 to 30% oxygen. chest x-ray was obtained and revealed fluid in the fissures consistent with transient tachypnea of the newborn. he continued on cpap and weaned to room air by 24 hours of age. blood gas was obtained by capillary sample of 7.27 and pco2 of 53. he was placed in room air and has continued to do well with a mature breathing pattern (no apnea of prematurity), respiratory rates in the 40s to 60s, and oxygen saturations greater than 94% in room air. cardiovascular: he had been noted to have bradycardia and desaturations with feedings the last of which occurred on at 2 a.m. otherwise he has been hemodynamically stable with murmur and normal blood pressure with ap 130 to 150s. fluids, electrolytes and nutrition: he initially was npo on iv fluids of d10w. he remained euglycemic while on iv fluids. he began feeds after cardiorespiratory stability was achieved and cpap was removed and breathing comfortably. he has been taking a minimum of 60 ml per kg of enfamil 20 calorie and doing well with that. he has passed urine and meconium stool. bilirubin will be obtained on with a newborn state screen. hematologic: cbc and blood culture was obtained upon admission to the icu. white count was 13 with 30 polys, 0 bands, 49 lymphs, hematocrit 43.6, platelets 290,000. he completed 48 hours of ampicillin and gentamycin with negative cultures and stable clinical course. neurologic: he has been able to maintain his temperature in an off-warmer and has appropriate tone and activity for 35 and 3/7 weeks gestation. sensory: a hearing screen has not yet been performed and will be done prior to discharge from the hospital. he is not a candidate for an ophthalmology examination. condition on transfer to newborn nursery: good. discharge disposition: to the newborn nursery. name of primary pediatrician: the primary pediatrician has not yet been identified. care recommendations: a. feeds at discharge: continue with enfamil 20 po ad lib. b. medications: none at this time. c. car seat position screening is recommended prior to discharge. d. state newborn screening will be obtained on . e. immunizations received thus far are none. f. immunizations recommended: 1. 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 two of the following: 2. daycare during the rsv season. 3. a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings. 4. with chronic lung disease. 1. influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age. before this age and for the first 24 months of the child's life, immunization against influenza is recommended for household contacts and out of home caregivers. follow up appointments recommended are with primary care pediatrician after discharge. discharge diagnoses: 1. prematurity at 35 and 3/7 weeks. 2. transient tachypnea of the newborn. 3. rule out sepsis. , dictated by: medquist36 d: 01:49:43 t: 03:54:56 job#: procedure: parenteral infusion of concentrated nutritional substances non-invasive mechanical ventilation circumcision diagnoses: observation for suspected infectious condition twin birth, mate liveborn, born in hospital, delivered by cesarean section neonatal bradycardia other preterm infants, 2,000-2,499 grams 35-36 completed weeks of gestation routine or ritual circumcision transitory tachypnea of newborn 

Answer: The patient is high likely exposed to