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 the 1450 gm product of a 31 and week di-di twin gestation born to a 37-year-old g4 p1 mom with prenatal screens b positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b negative, gbs unknown. the pregnancy was complicated by maternal rheumatoid arthritis and hypothyroidism. membranes noted to be ruptured morning of delivery. there were no sepsis risk factors present. she was treated with prednisone which was given in stress doses prior to cesarean section. ampicillin, erythromycin, and a single dose of betamethasone hours prior to delivery. this infant was born was cesarean section because of abruption of placenta. the infant emerged breech with apgar scores of 7 at 1 minute, 8 at 5 minutes. physical examination on admission: 1450 gm (75th percentile), 41 cm in length (25th percentile), head circumference of 29.5 cm (50th percentile). normocephalic, atraumatic. anterior fontanelle open and flat. palate intact. red reflex present bilaterally. neck supple. lungs persistent grunting. intercostal retractions noted with minimal aeration. cardiovascular regular rate and rhythm. no murmur. femoral pulses 2 plus bilaterally. abdomen soft. no active bowel sounds. a 2-vessel cord. no masses or hepatosplenomegaly. genitourinary normal premature male. testes not descended. summary of hospital course by system: 1. respiratory: initially was intubated and received one dose of surfactant for management of respiratory distress syndrome. he was extubated to cpap at 24 hours of age and remained on cpap for a total of 12 hours at which time he was transitioned to room air. he remained stable in room air for one week with increasing apnea- bradycardia episodes. infant was then placed back on cpap for a total of two weeks and was weaned to room air on . he is currently receiving caffeine citrate for management of apnea-bradycardia of prematurity. 1. cardiovascular: has been cardiovascular stable throughout hospital course with intermittent soft murmur noted. no cardiac evaluations have been performed. 1. fluids, electrolytes and nutrition: birth weight was 1450 gm. discharge weight was 1865 gm. infant initially started on 80 cc per kg per day of fd10 pn. enteral feedings were initiated on day of life number two. full enteral volumes were achieved by day of life number nine. max caloric intake was 150 cc of breast milk or special care 30 calories of promod. he is currently on 150 cc of special care 30 with promod working on p.o. enteral feeding skills. 1. gastrointestinal: peak bilirubin was on day of life number three at 9.6/0.3. he was treated with phototherapy for a total of seven days. this issue has since resolved. 1. hematology: hematocrit on admission was 51.8. he has not required any blood transfusions during this hospital course. his most recent hematocrit was on and was 39.1. 1. infectious disease: cbc and blood culture obtained on admission. cbc was benign. blood culture remained negative at 48 hours, at which time ampicillin and gentamicin were discontinued. infant had sepsis evaluation on for thick, yellow, blood-tinged, nasal secretions. received vancomycin and gentamicin for a total of 48 hours. cbc was benign. blood cultures remained negative. he was also empirically treated with bactroban ointment to nares. 1. neurologic: has been appropriate for gestational age. he had a germinal matrix hemorrhage noted on which was day of life 14. he should have one more head ultrasound at about 1 month of age. 1. sensory: audiology has not been performed. should be done prior to discharge. 1. ophthalmology: was seen most recently on . eyes were noted to be immature zone 2 with recommended followup in two weeks. a social worker has been involved with the family, and can be reached at . condition on discharge: stable. discharge disposition: to level 2 care. primary pediatrician: name of primary pediatrician is at pediatrics. feeds at discharge 150 cc per kg per day of special care 30 with promod. medications fer-in- supplementation and vitamin e supplementation as well as caffeine citrate. state newborn screens have been sent per protocol and have been within normal limits. immunizations received: the infant has not received any immunizations at this time. 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 gestation; 2) born between 32 and 35 weeks gestation with two of the following: daycare during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities, or school-age siblings; or 3) with chronic lung disease. 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. discharge diagnoses: 1. former twin born at 31 and week gestation. 2. status post mild respiratory distress syndrome. 3. ruled out sepsis. 4. hyperbilirubinemia. 5. anemia of prematurity. 6. apnea-bradycardia of prematurity. , md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy umbilical vein catheterization diagnoses: observation for suspected infectious condition 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 anemia of prematurity other preterm infants, 1,250-1,499 grams intraventricular hemorrhage, grade i 31-32 completed weeks of gestation acute nasopharyngitis [common cold] 

Answer: The patient is high likely exposed to