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: the baby was at 2:59 p.m. on , a gram product of a 31 week twin gestation to a 36 year old gravida iv, para mother with estimated date of confinement of . prenatal laboratory studies include o positive, antibody negative, rpr nonreactive rubella immune, hepatitis b surface antigen negative, gbs unknown. the pregnancy was achieved via in fertilization with diamniotic-dichorionic twin gestation. mother presented to hospital on with preterm labor and was treated with magnesium sulfate, betamethasone and penicillin. she was transferred to the on the morning of delivery with persistent labor and had magnesium therapy discontinued secondary to adverse effect. labor progressed and she was taken for a repeat cesarean section. betamethasone course would have been completed at 10 p.m. on the day of delivery. twin number 1 emerged vigorous requiring oxygen in the delivery room, apgar scores 8 at one minute, 8 at five minutes. physical examination: on admission birth weight grams, 75th percentile. discharge weight 1790. admission length 44 cm, 75th percentile. head circumference 32 cm, 90th percentile. vital signs on admission: temperature 98.4, heart rate 130s, respiratory rate 50s, blood pressure 52/29 with a mean of 36, o2 saturation 95 on room air. general examination: premature infant with moderate respiratory distress. head, eyes, ears, nose and throat: fontanelle soft, flat. ears and nares normal. palate intact. skin warm, pink without issue. chest: moderate aeration, coarse. noted to have, grunting, flaring and retracting. cardiac: regular rate and rhythm, no murmur. abdomen soft, nondistended, three vessel cord, no masses. no hepatosplenomegaly. genitourinary: normal male, premature. testicles in inguinal canal bilaterally, patent anus. normal phallus. hips: no click, straight back, no dimple. neurologic: tone and activity appropriate for gestational age. review of hospital course by systems: respiratory: the baby required intubation for surfactant deficiency. did receive two doses of surfactant, had an initial blood gas, cap gasses 7.44, 38. he transitioned off the ventilator on day of life one after his second dose of surfactant, required nasal cannula o2 until day of life 2 at 5:30 a.m. at the time of transfer the baby has been in room air with a baseline respiratory rate in the 30s to 60s with no further respiratory distress. the baby has not required any methylxanthine treatment. has had an occasional episode of apnea and bradycardia. cardiovascular: the baby has had no murmur. baseline heart rate 140 to 150s. blood pressures have been stable with systolics in the 50s to 70s, diastolics in 30s to 40s, means in the 40s to 50s. fluid, electrolytes and nutrition: initially the baby had a peripheral intravenous in place, had an initial dextrostix of 28, received one d10w bolus 2 cc per kilo and has had subsequent dextrostix greater than 80. enteral feedings were introduced on day of life two. baby is currently at 50 ml per kilo of breast milk or special care 20 with total fluids at 120 ml per kilo per day. he is receiving maintenance intravenous fluids of d10w with 2 meq of sodium chloride per 100 ml. the baby is voiding and stooling without issue. electrolytes on : sodium 139, potassium 5.8, chloride 105, co2 of 20. current weight is 1755g. gastrointestinal: there is no blood type available. baby has had several bilirubins, the peak one being on day of life three of 7.9/0.5. the plan was to repeat another one on unless clinically the baby looked jaundiced. hematology: the baby did not require any blood products during this admission. infectious disease: because of prematurity and respiratory distress the baby had a cbc and blood culture sent on admission. white count was 13.9, 40 polys, 0 band, platelets of 425,000 and hematocrit of 47.6. he was started on 48 hours of ampicillin and gentamicin. at 48 hours the baby was clinically well and the antibiotics were discontinued as he has had no further issues with infection. neurology: the baby is appropriate for gestational age. the plan was to do a head ultrasound on to rule out intraventricular hemorrhage. sensory: audiology: hearing screening has not been performed at the time of transfer. ophthalmology: eye examination has not been performed at the time of transfer. psychosocial: parents look forward to transition closer to home and are pleased with progress. condition on discharge: stable. discharge disposition: to hospital. name of pediatrician: undetermined at time of transfer. care recommendations: continue to advance enteral feedings 15 ml per kilo per day as tolerated with a goal to achieve 150 ml per kilo per day. medications: none at the time of transfer. car seat screening: not done at time of transfer. state newborn screen: initial screen was sent on and is pending at the time of transfer. immunizations received: none to date. immunizations recommended: 1. synagis rsv prophylaxis should be considered from through for infants who meet any of the following three criteria: 1) at less than 32 weeks. 2) 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, or 3) with chronic lung disease. 1. 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 care givers. follow up: appointments to be determined at time of discharge. discharge diagnoses: 1. former 31 week twin. 2. respiratory distress syndrome. 3. sp rule out sepsis. 4. apnea and bradycardia of prematurity. , dictated by: medquist36 d: 20:40:49 t: 21:25:08 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube non-invasive mechanical ventilation diagnoses: observation for suspected infectious condition twin birth, mate liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn primary apnea of newborn neonatal bradycardia other preterm infants, 1,750-1,999 grams neonatal hypoglycemia 31-32 completed weeks of gestation 

Answer: The patient is high likely exposed to