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 the first born of twins born at 26 and 5/7 weeks gestation to a 45-year-old g4, p0 woman. prenatal screens - blood type b positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status unknown. in fertilization pregnancy with resulting monochorionic, diamniotic twin gestation using donor egg and sperm. pregnancy was complicated by gross discordance noted approximately one week prior to delivery. the mother was admitted to the on , with hypertension and proteinuria. ultrasound at that time showed growth restriction and oligohydramnios of this twin. she was given a course of betamethasone that was completed on . on the day of delivery, the mother was noted to have increasing liver function tests and worsening preeclampsia. a decision was made to deliver by cesarean section. membranes were intact at the time of delivery. there were no sepsis risk factors. this twin, no.1, emerged from the breech position with moderate tone and respiratory effort. he required positive pressure ventilation for duskiness and respiratory distress. he was intubated at approximately 3 minutes of life. apgars were 7 at 1 minute and 8 at 5 minutes. he was admitted to the neonatal intensive care unit for treatment of prematurity. physical examination: upon admission to the neonatal intensive care unit, weight was 695 grams, 10th percentile; head circumference 24 cm, 25th percentile; length 33 cm, 25th percentile. general: active, premature infant male in moderate respiratory distress. head, ears, eyes, nose and throat: fontanel soft and flat. palate intact. nares and ears patent. chest: moderately aerated. coarse breath sounds. moderate work of breathing. cardiovascular: regular rate and rhythm. no murmurs or regurgitation. abdomen: soft. no masses. no hepatosplenomegaly. three vessel cord. quiet bowel sounds. genitourinary: normal male. anus patent. femoral pulses +2. extremities: warm. no edema or injury. neurological: appropriate tone and activity. hospital course by systems including pertinent lab data: respiratory: required assisted ventilation for his respiratory distress. he was initially on the conventional ventilator but postoperatively from his patent ductus arteriosus ligation on day of life 8 had worsening pulmonary status. he was changed to the high frequency oscillating ventilator and was maintained on that ventilator for approximately 5 days. he then changed back over to the conventional ventilator and remained on mechanical ventilation through . at that time he was extubated to continue his positive airway pressure on which he continued through . at that time he was changed to vapo-therm, a high flow cannula and humidification device. he was changed to conventional nasal cannula oxygen on , and weaned permanently to room air on . his respiratory course involved inter-chronic lung disease, requiring treatment with combivent, multidose inhaler, and diaral. the diuril was discontinued on . he also received a course of intramuscular vitamin a, 12 doses 3 times a week during the first few weeks of life. at the time of discharge he is breathing comfortably in room air with respiratory rate 50 to 60 breaths per minute and oxygen saturations greater than or equal to 94 percent. he also required treatment for apnea of prematurity with caffeine. the caffeine was discontinued on . his last episode of spontaneous apnea bradycardia occurred on . cardiovascular: required treatment for a patent ductus arteriosus. initial echocardiogram was performed on . he received a course of indomethacin. repeat echo on , showed persistence of the patent ductus arteriosus. he received a second course of indomethacin on . the echocardiogram showed patent ductus unchanged with continuous left to right flow. he was taken to surgical ligation at on . since that time he has maintained normal heart rates and blood pressures. a soft intermittent murmur is noted at the time of discharge. recent blood pressure is 74/39, with a mean of 48. baseline heart rates are 120 to 150 beats per minute. fluids, electrolytes and nutrition: was initially npo and maintained on intravenous fluids. he had a percutaneously inserted central catheter for total parenteral nutrition. enteral feeds were started on day of life 11 and gradually advanced to full volume. his maximum caloric intake was 32 calories per ounce of his mother's breast milk. as he progressed with his po feeding, he had numerous episodes of spitting noted. he had diarrhea and was changed to half breast milk and half enfamil ar formula with improvement in the spitting. at the time of discharge, he is taking either breast milk fortified to 26 calories per ounce, 4 calories by similac powder, 2 calories by corn oil or enfamil ar fortified to 26 calories per ounce, 4 calories by concentration and 2 calories by corn oil. his weight on the day of discharge is 2.765 mg with a recent length of 48.5 cm and a head circumference of 34 cm. required sodium and potassium supplementation while he was on diuril and those medications have now been discontinued. serum electrolytes were checked at numerous times during admission and were always relatively within normal limits. infectious disease: was evaluated for sepsis at the time of admission to the neonatal intensive care unit. his initial white blood cell count was 2600 with 12% polymorphonuclear cells, 0% band neutrophils, and absolute neutrophil count of 312. his repeat cbc on day of life 2 was improved with increased white count and normal absolute neutrophil count. he received ampicillin and gentamycin for 48 hours which was discontinued after a blood culture with no growth. he did not have any other infectious disease issues during admission. hematological: blood type is b positive. he received 5 transfusions of packed red blood cells and during admission the last occurring on . he also received 1 transfusion of fresh frozen plasma on the day of his patent ductus arteriosus surgical ligation. his low hematocrit occurred on , at 25.9%. his most recent hematocrit on , is 31.8% with reticulocyte count of 3.5%. he is being discharged home on supplemental iron. gastrointestinal: required treatment for unconjugated hyperbilirubinemia with phototherapy. peak serum bilirubin occurred on day of life 1 with a total of 3.8/ 0.2 mg/dl direct. he required phototherapy for approximately one week. rebound bilirubin was a total of 1.8/0.4. genitourinary: had an elective circumcision performed on . the procedure was uncomplicated and the circumcision is healing well at the time of discharge. neurology: has maintained a normal neurological examination during admission and there are no neurological concerns at the time of discharge. he had numerous head ultrasounds performed, the first obtained on , and showed ventricular asymmetry, right greater than left but considered to be within normal limits. there was also a choroid plexus cyst versus a small clot noted on subsequent studies. it resolved. his last head ultrasound was performed on , that showed symmetrical ventricles in resolution of the previously identified echo density. will be referred to the infants follow up clinic at . sensory: a. audiology - hearing screening was performed with automated auditory brain stem responses . passed in both ears. b. ophthalmology - has retinopathy of prematurity. his eyes were most recently examined on , showing stage 1, zone 2, 2 hours in both eyes. recommended follow up is in 3 weeks with ophthalmology at , dr. . psychosocial: this is a single mother who has good family supports. social worker was involved with this family. the contact person is and she can be reached at (. the discharge care coordinator is . condition on discharge: good. discharge disposition: home with the mother. name of primary pediatrician: dr. , pediatric physicians, pc, , , . phone no. (. fax no. (. care recommendations: 1. feeding - breast milk or enfamil ar formula fortified to 26 calories per ounce po ad lib. 2. medications - ferrous sulfate 25 mg per ml dilution, 0.25 ml po once daily. 3. car seat position screening was performed. was observed in his car seat for 90 minutes without any episodes of bradycardia or oxygen desaturation. 4. state screens were sent at multiple junctures, the first screen sent on , and showed a low t4 level. repeat screens on , , , were all within normal limits. an additional screen was sent on , with the results pending at the time of discharge. 5. immunizations received - hepatitis b vaccine was given on , and . diphtheria, acellular pertussis on . hiv on , . injectable polio vaccine on , and prevnar ion . synagis was administered on . 6. immunizations recommended synagis rsv prophylaxis should be considered from through for infants who meet any of the following three criteria. a) born within 32 weeks. b) born between 32 and 35 weeks with two of the following: 1. daycare during the rsv season. 2. 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 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: 1. appointment with dr. , primary pediatrician within 3 days of discharge. 2. pediatric ophthalmology, dr. through . discharge diagnoses: 1. prematurity at 26 and 5/7 weeks gestation. 2. twin no. 1 of twin gestation. 3. respiratory distress syndrome status post two doses of surfactant. 4. suspicion for sepsis ruled out. 5. patent ductus arteriosus status post ligation on , . 6. apnea of prematurity. 7. anemia of prematurity. 8. unconjugated hyperbilirubinemia. 9. mild gastroesophageal reflux disease. 10. retinopathy of prematurity. , procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart insertion of endotracheal tube non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells other surgical occlusion of vessels, thoracic vessels transfusion of other serum circumcision diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis 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 neonatal bradycardia patent ductus arteriosus retrolental fibroplasia routine or ritual circumcision extreme immaturity, 500-749 grams 25-26 completed weeks of gestation diarrhea umbilical hernia without mention of obstruction or gangrene other and unspecified atelectasis other apnea of newborn late metabolic acidosis of newborn "light-for-dates" without mention of fetal malnutrition, 500-749 grams intraventricular hemorrhage unspecified grade congenital hydrocele cerebral cysts 

Answer: The patient is high likely exposed to