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: baby #2 was born on as the 2160 gram product of a 34-1/7 week twin gestation to a 35 year-old gravida i, para 0 to ii mother with estimated date of confinement of . prenatal laboratory studies blood type o positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune and group b strep unknown. pregnancy was notable for ivf assisted diamniotic-dichorionic twin gestation. pregnancy was complicated by cervical shortening noted at 28 weeks treated with a course of betamethasone and bed rest. pregnancy was further complicated by development of pregnancy associated hypertension. on the day of delivery mother was noted to have worsening symptoms of preeclampsia with elevated blood pressures and proteinuria and was therefore admitted for cesarean section. ultrasounds were reassuring with biophysical profile of 8 out of 8. at delivery this infant emerged, pale with respiratory distress. he was resuscitated with stimulation, oxygen and facial cpap with apgars of 7 and 8 and was then brought to the neonatal intensive care unit. physical examination on admission: weight 2160 grams, 50th percentile. head circumference 32.5 cm, 50th to 75th percentile. length 44 cm (25th to 50th percentile. the infant was noted to be in moderate respiratory distress with grunting and retractions and was placed on cpap. features were nondysmorphic. fontanelles were soft and flat. breath sounds were decreased bilaterally and coarse. cardiac was regular rate and rhythm without murmurs or gallops. abdomen was soft and nontender without masses. back and hips were normal. extremities were without lesions. anus was patent. genitalia were that of normal male. tone and activity were appropriate. hospital course by systems: 1. respiratory: the infant exhibited mild respiratory distress syndrome and was treated with cpap for 48 hours without significant oxygen requirement. the infant weaned to room air by day of life 2 and has remained in room air since that time. the infant did have mild apnea of prematurity with infrequent spells noted over the first week or 2 of life. by the time of discharge the infant has been without spells for over 2 weeks. 1. cardiovascular: the infant has remained hemodynamically stable throughout admission without need for cardiovascular support. no significant murmur has been noted. of note, the infant was noted to develop intermittent tachycardia with heart rate increasing as high as 210 to 230. these episodes of narrow complex tachycardia would occur mostly while awake or active and appeared physiologic with heart rate gradually increasing from normal rates in the 150s to over 200 and then gradually decreasing again. these periods did not appear to be tachyarrhythmias as the changes were gradual and not abrupt. an ekg was performed that did not reveal any evidence of heart block or arrhythmia. baseline heart rates have been normal in the 140 to 160 range and no further evaluation has been performed. 1. fluid, electrolytes and nutrition: the infant was initially maintained on iv fluids and enteral feeds were introduced on day of life 2. feeds were advanced without difficulty to full volume feeds with a maximum caloric density of 24 calories per ounce. the infant was initially feed via gavage with transition to oral intake as tolerated. the infant was somewhat slow to develop mature oral feeding skills but at the time of discharge has been feeding all p.o. for over 3 days with adequate intake and adequate weight gain. infant will be discharged on breast milk 24 calories per ounce supplemented with similac powder or other formula powder as well as breast feeding. discharge weight is 2970 grams. 1. gastrointestinal: infant did experience mild hyperbilirubinemia of prematurity treated with 48 hours of phototherapy. maximum bilirubin level was 9.1 on day of life 3. 1. infectious disease: infant underwent a sepsis evaluation at birth with an unremarkable cbc and negative blood culture. he received 48 hours of antibiotics. the infant did develop candidal diaper rash treated with nystatin and miconazole powder. the rash has abated by the time of discharge. 1. heme: hematocrit at birth was 52.6. hematocrit on day of life 8 was 44.2. his most recent hct was 29.7 with retic count of 1.7. the infant is on supplemental iron. 1. neurology: infant has maintained a normal neurologic examination throughout admission. no head imaging has been performed. 1. sensory: hearing screen was passed prior to discharge. condition on discharge: stable. discharge disposition: to home. primary pediatrician: dr. at pediatrics. phone #. care recommendations: 1. diet: breast milk supplemented to 24 calories per ounce with formula powder as well as breast-feeding. 2. medications: fer-in- 2 mg per kilogram per dose. 3. car seat position screening was passed prior to discharge. 4. state newborn screens were sent per protocol and no abnormal results have been reported. 5. immunizations: the infant received hepatitis b vaccine on . 6. immunizations recommended: 1. synagis rsv prophylaxis should be considered from through for infants who meet any of the following 3 criteria: 1) born at less than 32 weeks. 2) born between 32 and 35 weeks with 2 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. 2. 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 contact and out of home caregivers. follow up: the infant will follow up with the primary pediatrician in 1 to 2 days. discharge diagnoses: 1. prematurity at 34-1/7 weeks. 2. twin gestation, twin #2. 3. respiratory distress syndrome. 4. apnea of prematurity. 5. hyperbilirubinemia. 6. sepsis evaluation. 7. physiologic sinus tachycardia. , md procedure: non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases 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 primary apnea of newborn other preterm infants, 2,500 grams and over routine or ritual circumcision 33-34 completed weeks of gestation diaper or napkin rash candidiasis of skin and nails neonatal tachycardia 

Answer: The patient is high likely exposed to