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 former 1.43 kg product of a 29 and week gestation pregnancy, born to a 31 year-old, gravida ii, para 0 woman. prenatalscreens: blood type 0 positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative. group beta strep status unknown. antepartum course was notable for twin pregnancy. the mother developed pregnancy induced hypertension which prompted admission to . she received betamethasone and was beta complete on . she was transferred to due to worsening hypertension. she was treated with magnesium sulfate. decision was made to deliver by cesarean section under spinal anesthesia for worsening pregnancy induced hypertension. this twin #1 emerged with apgars of 8 at 1 minute and 8 at 5 minutes. she was admitted to the nicu for treatment of prematurity. physical examination: physical examination upon admission to the neonatal intensive care unit: weight 1.43 kg. head circumference 27.5 cm. general: pink infant in mild respiratory distress, on continuous positive airway pressure. heent: soft anterior fontanel, normal facies. palate intact. chest: mild retractions, fair air entry. cardiovascular: no murmur. present femoral pulses. abdomen: soft and flat, nontender, no hepatosplenomegaly. genitourinary: normal female external genitalia. musculoskeletal: hips stable. spine straight and normal. skin: normal perfusion. neuro: normal tone and activity for gestational age. hospital course: 1. respiratory: was initially placed on continuous positive airway pressure. upon admission to the neonatal intensive care unit, she had worsening distress and an increasing oxygen requirement and was subsequently intubated and received 2 doses of surfactant. she was extubated to continuous positive airway pressure on day of life 5. she transitioned to nasal cannula oxygen on day of life #9 due to clinical decompensation. on day of life #20, she was reintubated and ventilated for the next week. on day of life 27, she was again extubated and transitioned to room air and continued in room air through the remainder of her neonatal intensive care unit admission. she was initially treated for apnea of prematurity with caffeine which was discontinued due to a cardiac arrhythmia. she has had rare episodes of apnea and none for the 3 weeks prior to discharge. at the time of discharge, she is breathing comfortably, 30 to 40 breaths per minute. one episode of brief bradycardia was noted during her eye exam yesterday but she has no further events since then. 2. cardiovascular: a murmur was noted on day of life #2 and clinically presenting as a presumed patent ductus arteriosus. she was treated with indomethacin. cardiac echo was obtained on day of life #3 showing no pda and a patent foramen ovale versus an atrioseptal defect. on day of life 18, she had a spontaneous episode of supraventricular tachycardia. an ekg at that time showed premature atrial beats and atrial bigeminy, normal indices, no ventricular hypertrophy. she continued to have runs of supraventricular tachycardia. she was treated briefly with propranolol and digoxin. the episodes resolved spontaneously and she has not had any episodes since . no murmurs are noted at the time of discharge. baseline heart rate is 150 to 170 beats per minute with a recent blood pressure of 76 over 54 with a mean of 62 mmhg. cardiology follow-up is recommended one month after discharge. 3. fluids, electrolytes and nutrition: was initially n.p.o. and maintained on iv fluids. she had a double lumen umbilicus venous catheter, a percutaneously inserted central catheter was placed on day of life 5. enteral feeds were started on day of life 5 and gradually advanced to full volume. on day of life #20, she presented with abdominal distention and tenderness and frank blood per rectum. she was made n.p.o. and treated with 3 weeks of bowel rest. a contrast enema was performed on and , both studies were within normal limits with no strictures or abnormalities noted. an upper gastrointestinal series was obtained on and was within normal limits. was refed slowly with breast milk and again on day of life #60, she had reccurrence of bloody stools. her formula was changed to nutramigen without improvement and on day of life #63, she was changed to neocate elemental formula. at the time of discharge, she is taking 150 to 240 cc per kg per day of neocate, exhibiting good weight gain. weight on the day of discharge is 3.05 kg with a corresponding length of 50 cm and a head circumference of 34.25 cm. serum electrolytes were checked repeatedly and were within normal limits. 4. infectious disease: was evaluated for sepsis upon admission to the neonatal intensive care unit. a white blood count and differential were within normal limits. a blood culture was obtained prior to starting intravenous ampicillin and gentamycin. the blood culture was no growth at 48 hours and the antibiotics were discontinued. with the onset of her presumed necrotizing enterocolitis on day of life #20, she was once again recultured and started on ampicillin, gentamicin and clindamycin. she received a total 21 day course of antibiotics. a lumbar puncture was performed on day 10 of this antibiotic course and was concerning with a csf white blood cell count of 40 which prompted elongation of her course to 3 weeks of antibiotics. all cultures were negative. 5. hematology: is blood type 0 positive. she received 2 transfusions of packed red cells on and . her most recent hematocrit is 34.5% on with a reticulocyte count of 1.9%. 6. gastrointestinal: as previously mentioned, had presumed necrotizing enterocolitis and also concern for cow's milk protein allergy. she will be followed up by the pediatric gastroenterology service at one month after discharge. appointment will be with , md who can be reached at . the plan had been to reintroduce breast milk 1 week prior to that gastroenterology appointment to determine whether will tolerate breast milk. her mother has been on a modified restricted dairy and soy diet for the last month. her mother has expressed reservations about this plan preferring to wait a longer period before trying breastmilk again. this should be reviewed with dr. . 7. neurology: head ultrasounds were obtained on and and were within normal limits. has maintained a normal neurologic exam during admission and there were no neurologic concerns at the time of discharge. 8. sensory: audiology: hearing screening was performed with automated auditory brain stem responses. passed in both ears. ophthalmology: eyes were initially examined on showing stage i, zone ii retinopathy of prematurity. two subsequent exams showed similar findings. most recent exam was on showing immature retina to zone ii with recommended follow-up in 3 weeks. 9. psychosocial: social work has been involved with this family. the family has been very involved in care. condition on discharge: good. discharge disposition: home with the parents. primary pediatrician: , md, child health associates, , , . phone number . care and recommendations: 1. feeding: neocate p.o. ad lib. reintroduce breast milk after you and parents have discussed the plan further with dr. . if the baby continues to take large volumes - >200ml/kg/d of neocate, the protein intake will more than with standard infant formulas. this should be well tolerated, however our dietician recommends checking a bun and creatinine in the next 2-3 weeks to ensure this. 2. no medications at discharge. 3. recommend starting supplemental iron 2 weeks after discharge to provide total of 4mg/kg/d of elemental iron - neocate provides 2mg/kg/d of fe when baby is taking 150ml/kg/d. 4. car seat position screening was performed. was observed in her car seat for 90 minutes without any episodes of bradycardia or oxygen desaturation. 5. state newborn screens were sent on , . the last screen on was not on full enteral feedings. therefore, a repeat screening was sent on with results pending at the time of discharge. 6. immunizations: hepatitis b vaccine was administered on . pediarix, hib and prevnar were administered on . synagis was administered on . 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 weeks 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) 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. 7. follow-up appointments: a.) appointment with dr. within 3 days of discharge. b.) pediatric gastroenterology, dr. , , phone number - date 9:30 am. c.) pediatric cardiology, dr. , , phone number , date 4:30pm. d.) pediatric ophthalmology in 3 weeks with dr. on at 1:30pm. medical record number is . discharge diagnoses: 1. prematurity at 29 and 4/7 weeks gestation. 2. twin #1 of twin gestation. 3. respiratory distress syndrome. 4. suspicion for sepsis, ruled out. 5. presumed meningitis (csf pleocystosis but culture neg). 6. presumed patent ductus arteriosus. 7. supraventricular tachycardia. 8. necrotizing enterocolitis. 9. cow's milk protein allergy. 10. anemia. 11. apnea of prematurity. 12. stage i retinopathy of prematurity. 13. unconjugated hyperbilirubinemia. dr., 50-466 dictated by: medquist36 d: 01:00:38 t: 05:17:30 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells umbilical vein catheterization 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 primary apnea of newborn other specified conditions originating in the perinatal period retrolental fibroplasia other preterm infants, 1,250-1,499 grams 29-30 completed weeks of gestation ostium secundum type atrial septal defect meningitis, unspecified neonatal tachycardia 

Answer: The patient is high likely exposed to