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: service: neonatology history of present illness: baby #2, is the former 1070 gm male newborn twin b who was admitted to the neonatal intensive care unit for management of prematurity. the baby was to a 36 year old gravida 3, para 1 mother. prenatal screens - a positive, antibody negative, hepatitis b streptococcus unknown. also cystic fibrosis was negative, chlamydia, gonorrhea culture negative. maternal history - hypothyroidism, pregnancy notable for spontaneous dichorionic/diamniotic twins. pregnancy complicated by preterm labor and cervical shortening noted during routine examination at 23 5/7 weeks. mother was was placed on bedrest and was treated with magnesium sulfate. betamethasone. on the day of delivery, , mother presented in active labor despite high doses of magnesium. delivery was by cesarean section. this infant emerged floppy without spontaneous respirations. the infant was dried, bulb suctioned and stimulated. poor respiratory effort continued and positive pressure was begun with some improvement. was intubated in the delivery room, apgars 1 at one minute and 6 at five minutes. the baby was shown to the parents and then transferred to the newborn intensive care unit. hospital course: (by systems) respiratory - the baby received three doses of surfactant and was on the conventional ventilator with pressures of 22/5 and a rate of 18. weaned by day of life #24 to nasopharyngeal cpap which he required until nasal cannula oxygen on day of life #51. he transitioned to room air on day of life 64 and remained in room air until day of life 76 where he had an increase in apnea and bradycardia. he was on cpap for approximately 24 hours. he was also noted to have spits at this time. sepsis evaluation was negative, and ultimately this episode was thought to be related to reflux. he was then again transitioned to room air where he remained. the baby was loaded with caffeine citrate on day of life #4. he remained on caffeine citrate until day of life #63. at the time of discharge he has been without significant apnea, bradycardia or desaturation for greater than five days. cardiovascular - the patient had a presumed patent ductus arteriosus which was treated with one course of indomethacin on day of life 3 to 4. he had an echocardiogram on after treatment with indomethacin which showed no patent ductus arteriosus. the baby's baseline heartrate is 130s to 160s. he is cardiovascularly stable with blood pressures with systolics in the 60s to 80s, diastolics 30s to 40s and mean blood pressure 40s to 50s. fluids, electrolytes and nutrition - the patient initially had an umbilical artery catheter but was unable to have an access to umbilical venous catheter. the umbilical artery catheter was removed on day of life #3. he had a picc line inserted which remained in place for several weeks. he was started on enteral feedings on day of life #7 and was advanced to full strength breastmilk 32 with promod, demonstrated some initial spits, ultimately was thought to have reflux. he was started on reglan and zantac on day of life #60 and had rice cereal added to his breastmilk 32 with promod. the reglan and zantac were discontinued on and he was transitioned to enfamil ar which he is currently feeding all p.o. he is receiving supplemental iron, ferrous sulfate .3 cc p.o. q.d. which equals 2 mg/kg/day of 25 mg/cc. the baby is taking in greater than 170 cc/kg/day. his birthweight was 1070 gm, 50th percentile, discharge weight 4160, 50th percentile. admission length 37 cm, 50th percentile, discharge length 52 cm, 25th to 50th percentile. admission head circumference, 20.5 less than 10th percentile, question accuracy of this measurement as at one week of age his head circumference was 24 cm, 10th percentile. discharge head circumference 35 cm, 75th percentile. gastrointestinal - he had a bilirubin on day of life #4 of 5, .4, .3. he responded to single phototherapy and had a rebound bilirubin of 1.8, 0.4, 1.4. hematology - baby is a positive, coomb's negative, received four transfusions of red blood cells during this admission, last one being on for a hematocrit of 24. he has not had a repeat hematocrit since then, he is pink and well perfused. infectious disease - the baby had a sepsis evaluation on admission because of prematurity and presentation at birth, he had a white count of 7.3, 38 polys, 0 bands, 57 lymphs, platelets of 299,000. admission hematocrit of 54%. he was started on ampicillin and gentamicin. he had adequate gentamicin levels of 1.3, 1.1 and a trough of 5.5. antibiotics were discontinued as the baby was clinically doing well for gestational age. he then had a sepsis evaluation on day of life #30 for increased apnea and bradycardia. at that time his blood count was 18 wit 51 polys, 0 bands, platelet count of 645,000, hematocrit 41. he was not started on antibiotics and clinically improved. on day of life #38 he again had a sepsis evaluation for increased apnea and bradycardia. the complete blood count was also within normal limits. blood culture was negative and the baby received 48 hours of vancomycin and was clinically improved. on day of life #75 again he had increased apnea and bradycardia. he had a blood culture and complete blood count sent. his complete blood count had a white count of 11.8 with 14 polys, 0 bands, platelets 383 and his blood culture remained negative. he did have a urine catheter specimen sent that was positive for enterococcus, and klebsiella. he had a repeat complete blood count after starting on vancomycin and gentamicin that was within normal limits. his antibiotics were continued for five days and after being off of antibiotics for one week he had a repeat urine culture sent that showed no growth. to follow up on this presumed urinary tract infection, he had a renal ultrasound which showed nephrocalcinosis on and then he had a vesicoureterogram done at that was within normal limits. he has had no further issues. neurological - the baby had an initial head ultrasound on day of life #3 which was within normal limits with no evidence of intraventricular hemorrhage. on day of life #10 he had another head ultrasound which showed a grade 3 bilateral intraventricular hemorrhage. he had serial head ultrasounds after this to follow his ventriculomegaly that was noted on this ultrasound also and these were improving, until when his ventriculomegaly was mildly increased from his previous scan. he had his last scan on which showed a resolving clot with ventricular size stable. plan is to do an outpatient head ultrasound at the in the next week or two and certainly prior to being followed up in the neonatal neurology follow up program at the . dr. has seen here at the and has also met with the parents, his phone #. baby's neurological examination is appropriate for gestational age. sensory - audiology, hearing screen as passed. ophthalmology, the baby has had serial eye examinations which showed some mild retinopathy of prematurity with his last examination being on which showed stage 1 retinopathy of prematurity, both eyes, 2 to 3 clock hours with a plan to follow up in three to four weeks with dr. from ophthalmology at , phone . psychosocial - parents have been visiting daily, are optimistic about outcome. they have been appropriately grieving twin, who died of pulmonary hemorrhage and shock on day of life #2. they had a service for him about one week after his death and met with dr. on regarding autopsy results and a bereavement meeting. they look forward to transitioning home and are appropriately anxious about this transition. condition on discharge: stable. discharge disposition: home with family. primary pediatrician: dr. , phone , fax . care recommendations: continue enfamil ar adlib, minimum of 130 cc/kg. medications - ferrous sulfate .3 cc p.o. q.d. which equals 2 mg/kg/day of 25 mg/cc. car seat screening passed on . state newborn screen, baby had serial newborn screen, the last one being on that was within range. immunizations received - hepatitis b vaccine and . dtap , hib , ipv , pneumococcal 7 valiant conjugate vaccine , synagis . immunizations recommended - synagis respiratory syncytial virus 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 plans for daycare during respiratory syncytial virus season, with a smoker in the household or with preschool siblings; or 3. with chronic lung disease. influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age. before this age the family and other caregivers should be considered for immunization against influenza to protect the infant. follow up: follow up appointments recommended with primary care physician, . , parents plan to call on and will be seen during the first week of discharge. neonatal neurology program, . follow up head ultrasound the week of at , . ophthalmology, dr. , last examination on , plan to follow up in three to four weeks, to . mother will call for an appointment. group, and infant follow up program at will contact the family. follow-up renal ultrasound suggested for several monthsa time to evaluate resolution of stones,, or need for further evaluation. discharge diagnosis: 1. former 27 week premature male 2. status post respiratory distress syndrome 3. status post rule out sepsis 4. status post presumed urinary tract infection 5. status post intraventricular hemorrhage 6. mild retinopathy of prematurity 7. gastrointestinal reflux 8. status post apnea and bradycardia of prematurity 9. renal calcifications , m.d. dictated by: medquist36 d: 15:52 t: 16:05 job#: 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 enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy retrograde cystourethrogram diagnoses: friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site twin birth, mate liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery retrolental fibroplasia other preterm infants, 1,000-1,249 grams intraventricular hemorrhage, grade iii urinary tract infection of newborn 

Answer: The patient is high likely exposed to