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: is a 31 week gestation male twin. the mother is a 36-year-old gravida i, para 0 now ii mother. she was transferred from on the day of delivery after developing spontaneous rupture of membranes at 5:00 a.m. and then onset of labor. prenatal screens revealed a blood type of a positive, antibody negative, rubella immune, hepatitis b surface antigen negative, and rpr nonreactive. the pregnancy was spontaneously conceived, diamniotic/monochorionic twins, and was followed closely by dr. of maternal fetal medicine. no complications were noted except for a question of discordant growth that appeared to have mostly resolved on the most recent ultrasound. the mother was transported by life flight on the day of delivery. she was treated with one dose of betamethasone on the a.m. of delivery and was also given antibiotics and magnesium sulfate. labor progressed despite magnesium sulfate and delivery was performed by cesarean section because of vertex/breech presentation. apgar scores were eight at one minute and eight at five minutes of age. the baby received only bulb suctioning and blow-by oxygen and brief facial continuous positive airway pressure in labor and delivery. on admission to the newborn intensive care unit, the baby was noted to have increased work of breathing and was intubated and treated with surfactant with nice improvement in respiratory pattern. physical examination: on admission, the vital signs revealed a temperature of 98.6, heart rate 156, respiratory rate 40, blood pressure 68/42 with a mean arterial pressure of 57, oxygen saturation 94 percent. measurements: weight: 1,620 grams (60th percentile), length 43.5 cm (75th percentile). head circumference 28.5 cm (30th percentile). the infant was a ruddy, pink, premature infant on a ventilator. the anterior fontanelle was soft and flat. lips, gums, and palate intact. facies normal. no molding. breath sounds were equal. mild retractions. occasional rales and rhonchi. heart: normal s1 and s2. no murmurs auscultated. pulse was normal. abdomen was soft with no organomegaly. gu: normal, average for gestational age male. neurologic: tone average for gestational age, symmetric examination. hips: increased laxity but no dislocation noted. hospital course: respiratory: was intubated shortly after admission to the newborn intensive care unit. he received two doses of survanta and was weaned to room air by day of life one. he required low-flow nasal cannula oxygen on day of life two. he was in and out of nasal cannula oxygen until day of life 21 when he finally weaned to room air. caffeine citrate was started on day of life five for apnea of prematurity. caffeine was discontinued on day of life 20. he has had no apneic spells for at least five days prior to discharge. cardiovascular: blood pressure has been normal throughout his hospitalization. no boluses or pressors were required. a soft intermittent murmur was heard on day of life one, resolving by day of life four spontaneously. fluids, electrolytes, and nutrition: iv fluids of d10w were started via a peripheral iv at 80 cc per kilogram per day upon admission to the newborn intensive care unit. feeds were started at 10 cc per kilogram per day on day of life one and advanced without problems to full volume feeds of 150 cc per kilogram per day by day of life five. he was increased to a maximum caloric density of 26 calorie breast milk with promod. no issues with feeding intolerance. the last laboratories on day of life 17 revealed a calcium of 10.9, phosphorus of 7.5, and alkaline phosphatase of 294. discharge weight was 2,450 grams, discharge length 48 cm, discharge head circumference 32 cm. gastrointestinal: phototherapy was started on day of life two for a peak bilirubin of 9.4. phototherapy was discontinued on day of life four with a rebound bilirubin of 4.5 on day of life five. hematology: the hematocrit on day of life 17 was 36.9 with a reticulocyte count of 2.6. he did not receive any blood products during his hospitalization. infectious disease: a cbc with differential and blood cultures were sent upon admission to the newborn intensive care unit. white blood cell count of 7.6, hematocrit of 47, platelet count of 317,000 with 24 percent neutrophils and 0 percent bands. a blood culture was drawn at that time and was negative at 48 hours. he received 48 hours of ampicillin and gentamicin. there were no other issues of infection during his hospitalization. neurology: a head ultrasound on day of life 12 was normal. sensory: audiology: a hearing screen was performed with automated auditory brain stem responses. he passed in both ears on . ophthalmology: eyes were most recently examined on revealing immaturity of retinal vessels but no rop as of yet. a follow-up examination should be scheduled for the week of . psychosocial: a social worker has been involved with the family. the contact social worker can be reached at . condition on discharge: the infant is stable in room air, gaining weight well on ad lib demand feeds. a stable temperature in open crib. discharge disposition: to home with parents. primary pediatrician: dr. . care recommendations: feeds at discharge ad lib demand feeds of special care 24 calories or 24 calorie per ounce breast milk. medications: iron supplements of 0.2 cc daily. car seat positioning: a car seat test was performed and he passed. state newborn screening status: initial newborn screen sent on revealed elevated 17 ohp, value of 95 was obtained. a repeat newborn screen was sent on and was normal. immunizations received: received his first hepatitis b vaccine on . no other immunizations have been given. 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 two of the following; day care during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings. 3) with chronic lung disease. influenza immunization is recommended annually in the fall for all infants once they reach six 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. a follow-up appointment with ophthalmology, dr. , at should be scheduled for the week of . discharge diagnosis: 1. prematurity at 30 3/7 weeks, twin gestation, twin number two. 2. respiratory distress syndrome. 3. rule out sepsis. 4. hyperbilirubinemia. 5. apnea of prematurity. reviewed by: , dictated by: medquist36 d: 23:53:40 t: 07:06:35 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube non-invasive mechanical ventilation other phototherapy circumcision gastric gavage other oxygen enrichment diagnoses: twin birth, mate liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia other preterm infants, 1,500-1,749 grams 31-32 completed weeks of gestation 

Answer: The patient is high likely exposed to