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: baby boy is a former 25 and week, 910-gram, preterm male, twin i who was admitted to the neonatal intensive care unit for management of prematurity. this infant was born to a 31-year-old gravida 1, para 0 (now 2) mother. prenatal screens: o positive, antibody negative, hepatitis b surface antigen, rapid plasma reagin nonreactive, and group b strep status unknown. this pregnancy was conceived by in fertilization, dichorionic-diamniotic, and complicated by: 1. bleeding which started as early as seven weeks. evaluation revealed subchorionic hematoma. 2. during previous evaluation of bleeding, the last was at about 20 weeks gestation. the mother noted to be having contractions; however, she did not feel them and they were not progressive. 3. on , the mother presented with bleeding, and this time on evaluation continued contractions were noted as well as a shortened cervix 4 cm to 2 cm and funneling. she was started on magnesium sulfate, betamethasone was started, and it was complete at the time of delivery. fetal studies for this twin showed a normal survey with a biophysical profile of with weight in the 75th percentile for gestation. medical history: medical history of polycystic ovarian syndrome. received metformin until twelve weeks gestation. history of basal cell carcinoma. question of hypothyroidism (on no medication). maternal medications: prenatal vitamins. social history: mom is a teacher. father of infant involved. assessment: on the day of delivery, the mother presented with spontaneous rupture of membranes and progressive preterm labor. the babies was delivered by cesarean section. apgar scores for this infant were 7 at one minute and 7 at five minutes. he was intubated in the delivery room. the parents briefly saw him, and he was transported to the neonatal intensive care unit for management of prematurity. physical examination on presentation: weight was 910 grams (50th to 75th percentile), discharge weight was 4315 grams (75th percentile), admission length was 34.5 cm (50th percentile), discharge length was 55 cm (75th percentile), head circumference was 23.5 cm (25th to 50th percentile), discharge head circumference was 38.5 (90th percentile). generally, an extremely premature, nondysmorphic infant. no rashes. anterior fontanel was soft and flat. red reflex deferred as eyelids were fused. palate was intact. normal facies. normally set ears. normal clavicles. thorax was symmetrical. bilateral breath sounds with poor aeration. noted to be retracting with endotracheal tube in place. a regular rate and rhythm. no murmurs. pulses were 2+. the abdomen was soft, flat, with faint bowel sounds. a 3-vessel cord. normal premature male genitalia. testicles undescended. normal phallus. patent anus. straight spine. no dimple. stable hips. reflexes were appropriate for gestational age. summary of hospital course by issue/system: 1. respiratory issues: as stated above, the patient was intubated in the delivery room and was placed on a high-frequency ventilator. received two doses of surfactant. remained in the high-frequency ventilator until day of life 32 when he self-extubated and was transitioned to continuous positive airway pressure of 7 cm, requiring about 40% oxygen. he remained on continuous positive airway pressure. weaned his oxygen until day of life 56 when he transitioned to nasal cannula oxygen requiring 500 cc of flow and 50% to 70% oxygen. this was weaned over time, and he finally transitioned to room air on day of life 115 after being started on diuril on day of life 79. he remains on diuril 85 mg twice per day which equals 40 mg/kg per day and potassium chloride supplements 2 meq by mouth twice per day which equals 1 meq/kg per day. his last electrolytes were 136, 4.8, 99 and 26 drawn on . the baby was started on caffeine citrate on day of life 25 and remained on this for apnea and bradycardia of prematurity until day of life 69. at the time of discharge, he has had no apnea or bradycardia for several weeks, and no desaturations, or oxygen requirement for greater than one week. 2. cardiovascular issues: on day of life two, the infant was treated for a presumed patent ductus arteriosus with a course of indomethacin. after this treatment, he still had symptoms of a patent ductus arteriosus. he had an echocardiogram on (which was day of life five) which showed a moderate patent ductus arteriosus. he then received a second course of indomethacin. after this treatment he had another echocardiogram on (day of life seven) which showed no patent ductus arteriosus. he did receive one normal saline bolus during transition. he did not require pressor support. at the time of discharge, the infant was cardiovascularly stable. he has an intermittent murmur which is consistent with peripheral pulmonary stenosis. his baseline heart rate is 130s to 160s. 3. fluids/electrolytes/nutrition issues: the infant initially had a double lumen umbilical venous catheter line in. attempts at achieving arterial access through a umbilical catheter were unsuccessful on admission. umbilical venous catheter remained in place until a peripherally inserted central catheter line was placed on day of life seven. the infant was started on parenteral nutrition on day of life one and has remained on this until he achieved full enteral feedings on day of life eighteen. enteral feedings were introduced on day of life nine and advanced to full feeds without incident. he advanced caloric density to breast milk 30 calories with promod and continued to show adequate growth, and calories were weaned. at the time of discharge, the infant was feeding breast milk 24 calories per ounce (achieved by adding 4 calories of enfamil powder per ounce) as well as breastfeeding well when mother is available. ad lib, he has been taking in greater than 130 cc/kg per day. he is also receiving supplemental ferrous sulfate 25 mg/ml, 0.7 cc, which equals 4 mg/kg per day. he is also receiving supplemental vidaylin 1 ml by mouth once per day and prune juice 2.5 ml by mouth twice per day. 4. hematology issues: the infant's blood type is o positive. he is antibody negative. he had a peak bilirubin on day of life five of 5/0.4/4.6. he responded to phototherapy and had a rebound bilirubin of 2.4/0.6/1.8. the baby did receive two blood transfusions during this admission; the last one being on day of life sixteen which was . he had a hematocrit on of 37 with a reticulocyte count of 3.4. he had a hematocrit on (prior to discharge) of 40.1. 5. infectious disease issues: the baby had a blood culture and complete blood count sent on admission because of prematurity and maternal history and respiratory distress syndrome. he had an initial white count of 5.2 with 13 polys and 0 bands. his platelet count was 229,000. his hematocrit was 45.5. this repeated on day of life one and showed a white count of 13.5 with 66 polys and 0 bands. on admission, he was started on ampicillin and gentamicin after having his blood cultures sent. these were discontinued at 48 hours as the baby had negative blood cultures and was cardiovascularly stable with symptoms of a patent ductus arteriosus and respiratory distress syndrome. during this hospitalization, he has had no further issues with infection. 6. neurologic issues: the baby has had serial head ultrasounds that have all been within normal limits. no evidence of intraventricular hemorrhage or periventricular leukomalacia. on examination, the baby is clinically appropriate for gestational age. 7. audiologic issues: hearing screening was performed with automated auditory brain stem responses. the baby passed this screening. 8. ophthalmologic issues: the baby had serial eye examinations done by dr of . he did exhibit some retinopathy of prematurity that regressed, and on his retinal vessels were mature with plans to follow up in eight months. 9. psychosocial issues: the parents have been visiting. they are thrilled to be taking home. they look forward to his sister joining them at home soon. condition at discharge: stable. discharge disposition: home with family. primary pediatrician: name of primary pediatrician is dr. , pediatrics (telephone number ), appointment on at 2 p.m. care recommendations: continue ad lib breastfeedings and/or bottled breast milk 24. medications on discharge: 1. diuril 85 mg twice per day which equals 40 mg/kg per day. 2. potassium chloride 2 meq by mouth twice per day which equals 1 meq per day. 3. ferrous sulfate (25 mg/ml) 0.7 cc which equals 4 mg/kg per day. 4. vidaylin 1 cc by mouth once per day. car seat position screening has been passed. state newborn screenings were done per protocol and have been within the normal range. immunizations received: 1. hepatitis b vaccine on and . 2. dtap on and . 3. hib on and . 4. ipv on and . 5. pneumococcal conjugate vaccine on and . 6. synagis on . immunizations recommended: synagis respiratory syncytial virus prophylaxis should be considered from through for infants who meet any of the following three criteria: (1) born at less than 32 weeks gestation. (2) born between 32 and 35 weeks gestation with 2/3 of the following: plans for day care during respiratory syncytial virus season, with a smoker in the household, neuromuscular disease, airway abnormalities, or with school-aged siblings; or (3) with chronic lung disease. influenza immunization should be considered annually in the fall. discharge instructions/followup: 1. dr. , pediatrics, on . 2. early intervention, early intervention, (telephone number ); initial contact on ; confirmed . 3. visiting nurse (telephone number ); date contact was . 4. infant follow-up program at on ; referral has been faxed and coordinator (ms ) will contact family. 5. pulmonology at (dr. ); appointment three weeks after discharge (telephone number ). 6. will need ophthalmology follow-up as noted above at 8 months of age. discharge diagnoses: 1. premature 25 and week male; twin i of ii. 2. status post rule out sepsis with antibiotics. 3. status post respiratory distress syndrome. 4. chronic lung disease. 5. status post patent ductus arteriosus with two courses of indomethacin. 6. resolved retinopathy of prematurity. 7. status post apnea of prematurity. , m.d. 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 non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases umbilical vein catheterization diagnoses: twin birth, mate liveborn, born in hospital, delivered by cesarean section extreme immaturity, 750-999 grams respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery chronic respiratory disease arising in the perinatal period anemia of prematurity retrolental fibroplasia 25-26 completed weeks of gestation 

Answer: The patient is high likely exposed to