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: baby #1 is a former -g product of a 32-week gestation pregnancy born to a 23-year-old gravida 2, para woman, whose pregnancy was apparently uncomplicated in this healthy woman. the babies were born at hospital and transferred to the via transport team. they were transferred to the because of beds inavailability at . mother presented in labor on the morning of delivery; breech presentation of twin a. no sepsis risk factors noted on hospital records. ultimately, maternal serologies were o positive, antibody negative, rubella immune, rapid plasma reagin nonreactive, hepatitis b surface antigen negative, and group b strep unknown. in the delivery room, the infant emerged with decreased tone and respiratory effort. apgar scores of 6 at 1 minute and 7 at 5 minutes. the infant was brought to the newborn nursery intubated for increased work of breathing. upon arrival of the transport team, the infant was given surfactant and antibiotics. complete blood count and differential were obtained and blood cultures. the baby initially was on 100% with pressures as high as 27/5, weaned during transport. a chest x-ray was consistent with respiratory distress syndrome. endotracheal tube was in the right main stem. the tube was repositioned by the transport team. physical examination on presentation: on admission examination at the , the infant was pink, active, nondysmorphic. birth weight was 1950g (75-90th %ile), length 44cm (50-75th %ile) and head circumference 31cm (10th %ile). skin without lesions. bilateral red reflexes. a regular rate and rhythm. normal first heart sounds and second heart sounds. lungs were coarse and equal bilaterally. the abdomen was benign. normal extremities. a nonfocal and age-appropriate neurologic examination. spine was intact. no dimples. hips were normal. a patent anus. hospital course by issue/system: 1. respiratory issues: on arrival on settings of 27/5 and a rate of 25, had a blood gas of 7.39/31. the baby was weaned to ventilator settings over the course of the day of 18/5 and a rate of 18 and was on room air. by day of life one, the baby was transitioned to continuous positive airway pressure of 6 cm, on room air, with a respiratory rate in the 30s to 40s. he was transitioned to room air on day of life two and then developed a nasal cannula oxygen requirement. currently he is on nasal cannula at 100%, less than 25 cc, with a respiratory rate of 40s to 60s, mild subcostal retractions. 2. cardiovascular system: the baby has had no cardiovascular instability. baseline heart rate is 130s to 170s. he has had a stable blood pressure with systolics in the 58 to 79 range, diastolic pressures of 40 to 59, and means in the 40s to 50s. he has no murmur. 3. fluids/electrolytes/nutrition issues: the baby has a peripheral intravenous line and was initially nothing by mouth with maintenance intravenous fluids of 80 cc per kilograms of d-10-w. maintenance electrolytes were added on day of life one, and he currently is receiving d-10-w with 2 meq of sodium chloride per 100 cc at 35 cc per kilograms per day. he had enteral feedings introduced on day of life one and is advancing to full enteral feeds. he is currently at 115 cc per kilograms of pe-20 with iron, advancing 15 cc per kilograms b.i.d. the mother is pumping. the mother informed us that she had cold sores on her lips which are frequent for her and was advised to discard expressed breast milk until her mouth lesions heal. the baby is voiding and stooling and had a last set of electrolytes on which revealed sodium was 140, potassium was 4.8, chloride was 106, and bicarbonate was 26. 4. gastrointestinal issues: the baby had a peak bilirubin on day of life four of 11 with a direct component of 0.1. on , his bilirubin was 6.5, 0.3, 6.2. phototherapy was just discontinued and we would advise getting a rebound bilirubin on . 5. hematologic issues: the baby has not required any blood products during this admission. his admission hematocrit here was 52.4. 6. infectious disease issues: the baby was started on 48 hours of ampicillin and gentamicin with an initial white blood cell count of 8.2 (62 polys, 0 bands, and 30 lymphocytes), platelet count was 329,000. at 48 hours of age, blood cultures sent here were negative, and the baby was clinically improving so the antibiotics were discontinued. 7. neurologic issues: the baby was appropriate for gestational age, based on a gestational age of greater than 32 weeks. a head ultrasound was not advised unless there is clinical concern. 8. sensory issues: audiology screening not done at the time of this dictation. 9. ophthalmologic issues: eye examination not indicated based on gestational age of greater than 32 weeks. 10. psychosocial issues: mother was discharged from the hospital on . arrangements were made for her to stay at at a hotel; however, the family decided not to come to the city, and we discussed transport to today; which they were pleased about. they have received updates via telephone from the staff. condition at transfer: condition on transfer was stable. discharge status: to . primary pediatrician: name of primary pediatrician was unknown at the time of this dictation. care recommendations: 1. continue advancing enteral feeds; 15 cc per kilograms per day with a goal of 150 cc per kilograms per day enterally. 2. medications: would consider beginning ferrous sulfate when achieves full feedings. none at this time. 3. car seat screening prior to discharge. 4. a state newborn screen was sent on . 5. immunizations received: none to date. immunizations recommended: synagis respiratory syncytial virus 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 and 35 weeks with plans for day care during respiratory syncytial virus season, with a smoker in the household, or with preschool siblings; and/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 care givers should be considered for immunization against influenza to protect the infant. discharge instructions/followup: follow-up appointments per routine with primary care physician. scheduled at this time. discharge diagnoses: 1. former 32-week premature twin #1. 2. respiratory distress syndrome. 3. status post rule out sepsis with antibiotics. 4. hyperbilirubinemia. reviewed by: , m.d. dictated by: medquist36 d: 14:40 t: 14:59 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy diagnoses: observation for suspected infectious condition respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery other preterm infants, 1,750-1,999 grams 31-32 completed weeks of gestation twin birth, mate liveborn, born before admission to hospital 

Answer: The patient is high likely exposed to