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: this infant was born twin #2, the product of a 26 and week gestation pregnancy. she was born to a 34 year-old, g1, p1 now 2 mother by cesarean section for breech presentation (this twin was breech) and unstoppable preterm labor. prenatal labs were blood type 0 positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, group beta strep status unknown. this pregnancy was complicated by ivf di/di twins, shortened cervix, preterm labor and pprom for almost 60 hours. mother was transferred from on after pprom. she received a complete course of betamethasone and was treated with ampicillin, erythromycin and magnesium sulfate. her magnesium was discontinued on in the evening when she was beta complete and was restarted a few hours labor for increasing preterm labor. her labor was not able to be arrested so she was taken for stat cesarean section. this infant emerged with an initial gas and was resuscitated with bulb suction, drying, stimulation and ppv. she was intubated in the delivery room, had good heart rates throughout. color and tone improved. apgars were 4, 6 and 8 at 1, 5 and 10 minutes of life. she was transferred to the nicu for further management. physical measures at birth shows a weight of 890 grams which is 50th percentile, head circumference of 24.5 cm which is 25 to 50th percentile. length of 35 cm which is 25 to 50th percentile. physical examination at discharge: active and alert female infant, pink and well perfused. normal facies. intact palate. bilateral red reflexes. normal ears. mild cephalo molding. supple neck. clavicles intact. breath sounds clear and equal bilaterally with mild retractions. pink and well perfused. normal s1 and s2, no murmur, normal pulses. mild dependent edema of the lower extremities and groin. abdomen soft and round with active bowel sounds. small umbilical hernia present. no masses palpable. patent anus. normal female gu with mild edema. spine straight, no sacral dimple. moves all extremities well. hips intact. neuro: alert and active, normal cry, suck, tone and gag reflexes present. summary of hospital course by systems: respiratory: the infant had respiratory distress syndrome on admission to the nicu and was given 2 doses of surfactant therapy on the newborn day. she weaned to cpap on day of life one after initiation of caffeine citrate at that time. she transitioned to nasal cannula oxygen on and then to room air on . she remained on room air until at which time, due to oxygen desaturation drift, she was started on nasal cannula oxygen. due to spells, she was started on cpap on and she received approximately 24 hours of cpap and then the cpap was discontinued and she returned to room air on after packed red blood cells transfusion for anemia. she remains on caffeine citrate at this time and she does have an occasional yet rare apneic episode on a daily basis. cardiovascular: she was treated with indomethacin on day one of life for an audible murmur and active precordium. an echocardiogram at that time showed a large pda. she received only a single course of indomethacin and had follow-up echocardiogram on which showed no pda but a pfo was present at that time. she remained cardiovascularly stable until at which time the heart rate was noted to be 230 for approximately 10 minutes. an ekg was done at that time. cardiology was consulted and the ekg showed sinus tachycardia. the caffeine citrate was held for approximately 3 days as it was felt to be the cause of the tachycardia and the tachycardia resolved. she is presently stable on her caffeine citrate with heart rates in the 130's to 160's. there have been no further cardiac issues. she does still present with an intermittent audible murmur which is felt to be ppf. fluids, electrolytes and nutrition: uac and uvc were placed on admission to the nicu. the infant was n.p.o. initially. parenteral nutrition was started on newborn day. the uac was discontinued on , day of life 2. central picc was placed on and the uvc was discontinued at that time. enteral feedings were initiated on with a slow advance. she achieved full enteral feedings on which is day of life 11. calories were subsequently concentrated to a maximum caloric density of breast milk 30 cals per ounce with beneprotein. due to adequate weight gain and growth, her caloric density has been decreased to 24 cals breast milk. she is presently p.o./p.g. feeding. her most recent weight is 2610 grams which is a 20 gram increase in 24 hours. her most recent length is 45 cm with a head circumference of 33.5 cm. the head circumference and length were both done on . those parameters place her following an adequate growth curve, with her weight in the 50th percentile, head circumference 75th percentile and length 25th percentile. she has had no recent electrolytes measured. she is voiding and stooling normally. heme negative stools. she is on vitamin e and elemental iron. gastrointestinal: the infant developed hyperbilirubinemia and was treated with phototherapy for approximately 8 days with a peak bilirubin level of 5.0 over 0.3. she has had no other gi issues. hematology: blood type is a positive, dat negative, hematocrit at birth was 48.9 with a platelet count of 282,000. she has received 2 red blood cell transfusions with the most recent transfusion being on . she was transfused for a hematocrit of 23.5 and a retic count of 6.0. she remains on iron supplementation with ferrous sulfate at 0.3 ml per day which is 2 mg/kg per dose. she had remained stable with anemia of prematurity up until at which time, due to worsening respiratory status, going from room air to nasal cannula to cpap and having spells, she was treated with packed red blood cells at that time and since then has resolved her respiratory status and is presently on room air after the transfusion. infectious disease: cbc and blood culture were screened on admission to the nicu due to the preterm labor. the infant was started on ampicillin and gentamycin which was subsequently discontinued when the cbc and blood culture remained negative at that time and her clinical status stabilized. she had a cbc and blood culture done on , day of life 14, for increased apneic/bradycardiac episodes. cbc was benign at that time. no antibiotics were started and the blood culture subsequently remained negative at 48 hours. cbc and blood culture were screened on due to increased spells. the hematocrit at that time showed anemia. there was no left shift. urine culture was sent and an ua was sent. urinalysis was negative. urine culture is pending. blood culture is pending. the infant was started on vancomycin and gentamycin for a planned 48 hour rule out sepsis. she is clinically improved since having packed rbc transfusion and will likely have her antibiotics discontinued on . blood culture is negative to date. neurology: the infant has had 3 normal head ultrasounds done on , and . she maintains a normal neurologic exam for gestational age. sensory: audiology: a hearing screen will need to be performed prior to discharge to home. it has not been done thus far. ophthalmology: the infant has had 2 ophthalmologic evaluations with the most recent being on which showed immature retina with vascularization to zone 3 with a planned follow-up ophthalmologic exam 3 weeks from that date, which would be the week of . psychosocial: social work has been involved with the family. the contact social worker can be reached at if there are any concerns. condition on discharge: fair. discharge disposition: transfer to , level ii nursery. name of primary pediatrician: undecided at this time. care recommendations: feeds of 24 calorie breast milk made with hms po/pg as tolerated. medications: caffeine citrate 18 mg po/pg daily which is 7 mg/kg per dose. ferrous sulfate 0.3 ml po/pg daily which is 2 mg/kg per dose. vitamin e 5 units po/pg daily. iron and vitamin d supplementation: iron supplementation is recommended for preterm and low birth weight infants until 12 months corrected age. all infants fed predominantly breast milk should receive vitamin d supplementation at 200 i.u. (may be provided as a multi-vitamin preparation) daily until 12 months corrected age. car seat position screening: recommended prior to discharge from the hospital. state newborn screens: have been sent on and . results initially were abnormal due to parenteral nutrition and the state screens have normalized to date with the most recent being totally within normal limits. immunizations received: infant received hepatitis b vaccine on , pediarix on , hib on and pneumococcal vaccine on . immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following four 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 or (4) hemodynamically significant congenital heart 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. this infant has not received rota virus vaccine. the american academy of pediatrics recommends initial vaccination of preterm infants at or following discharge from the hospital if they are clinically stable or at least 6 weeks but fewer than 12 weeks of age. followup: follow-up appointment is recommended with pediatrician after discharge from hospital. vna referral was recommended. early intervention program is recommended. neonatal infant follow-up program is recommended. discharge diagnoses: 1. prematurity born at 26 and 5/7 weeks gestation. 2. respiratory distress syndrome resolved. 3. appropriate for gestational age twin female. 4. sepsis ruled out. 5. breech presentation. 6. patent ductus arteriosus treated. 7. left leg hemangioma ongoing. 8. sinus tachycardia resolved. 9. apnea of prematurity ongoing. 10.anemia of prematurity ongoing. 11.rule out sepsis ongoing. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube non-invasive mechanical ventilation injection or infusion of other therapeutic or prophylactic substance other phototherapy prophylactic administration of vaccine against other diseases other oxygen enrichment diagnoses: esophageal reflux 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 extreme immaturity, 750-999 grams respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery primary apnea of newborn patent ductus arteriosus anemia of prematurity hemangioma of skin and subcutaneous tissue 25-26 completed weeks of gestation 

Answer: The patient is high likely exposed to