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: family and social history is notable for father with a limb abnormality and a history of cystic fibrosis in the father's family. mother is of origin. at delivery twin #i emerged vigorous with apgars of 9 and 9. infant was brought to the neonatal intensive care unit for prematurity. physical examination on admission: notable for weight of 1680 grams or 75th percentile, length of 42 cm, 50th to 75th percentile and head circumference of 29.5 cm, 75th percentile. infant was pink and active in no significant distress. features were nondysmorphic. red reflex was present bilaterally. palate was intact. neck was supple. lungs were clear with mild intermittent retractions. cardiac was regular rate and rhythm without murmurs. abdomen was soft without masses or hepatosplenomegaly. anus was patent. genitalia was that of normal preterm female. hips and back were normal. extremities were warm and well perfused. tone and activity were appropriate. hospital course by systems: 1. respiratory: infant initially exhibited minimal respiratory insufficiency and was maintained in room air for the first several days of life. over the first 2 to 3 weeks of life infant did require intermittent treatment with nasal cannula and cpap therapy for mild respiratory distress and frequent apnea spells. the infant never required significant oxygen and was maintained on cpap for a total of 9 days. the infant was weaned to room air alone by day of life 20 and has remained in room air since that time. moderate apnea of prematurity was noted treated with caffeine. caffeine was discontinued at approximately 34 weeks corrected gestational age. since that time intermittent spells have been noted, with slow resolution. by the time of discharge, the infant has been without spells for 5 days. 2. cardiovascular: the infant has remained hemodynamically stable since birth without need for cardiovascular support. an intermittent murmur was heard although no other signs of a patent ductus arteriosus were noted. over the last several weeks of hospitalization the murmur became more persistent and evaluation was performed on to including a chest x-ray, 4 extremity blood pressures and an electrocardiogram, all of which were within normal limits. cardiology was consulted on , and thought the murmur was consistent with a flow murmur; routine monitoring by pediatrician was recommended. 3. fluids and nutrition: the infant was initially maintained on iv fluids with introduction of enteral feeds on day of life 2. enteral feeds were advanced without difficulty to full volume and eventually 28 calories per ounce. infant was fed primarily breast milk supplemented with additional calories as well as some similac special care formula. on day of life 26, , the infant was noted to have grossly bloody stools. infant was otherwise well appearing and evaluation including cbc, blood culture and kub were reassuring. the infant was monitored for 48 hours off of enteral feeds and examination remained reassuring. enteral feedings were restarted after 48 hours, but using nutramigen. feedings were then advanced to maximum caloric density of nutramigen 24 calories per ounce without difficulty. since that time the infant has tolerated feedings well without evidence of abdominal distention or significant aspirates. stools have remained intermittently heme positive although otherwise normal in appearance. the infant was initially fed via gavage feedings and gradually transitioned to oral feedings as tolerated. by the time of discharge the infant has been feeding all p.o. for over 2 weeks with intake of 150 to 200 ml per kilogram per day and with steady weight gain. the infant was maintained on multivitamins during hospitalization but will not be discharged on these as the infant will be receiving primarily formula. in the future if the infant remains well appearing a transition back to breast milk from nutramigen can be considered. weight at the time of discharge was 3065 gm. 4. gastrointestinal: infant did experience mild hyperbilirubinemia of prematurity requiring phototherapy for 48 hours. the maximum bilirubin level was 9.0/0.4 on day of life 3. as described above, the infant also experienced presumed allergic colitis or protein intolerance. 5. heme: the infant was noted to develop anemia of prematurity requiring a blood transfusion on day of life 17 for hematocrit of 26. the infant was maintained on iron and hematocrit following transfusion was 33. hematocrit was noted to gradually decline since that time, with the last hematocrit on of 24.7 with a reticulocyte count of 2.4. repeat hematocrit on was 23.2 with retic 2.7. given this anemia iron dose was increased to 4 mg per kilograms per day; hematocrit will need to be monitored as an outpatient. 6. infectious disease: infant underwent a sepsis evaluation at birth with an unremarkable cbc and a negative blood culture. the infant was treated with ampicillin and gentamicin for 48 hours at that time. on day of life 7 to 8 repeat sepsis evaluation was performed due to frequent spells. blood culture eventually grew staph streptococcus- non-aureus species. infant was treated for 1 week with vancomycin and gentamicin. a lumbar puncture was performed and was unremarkable. as described above a repeat sepsis evaluation was performed on day of life 26 due to bloody stools; blood cultures were negative and infant was treated with 48 hours of ampicillin and gentamicin. no other infectious disease issues have been noted. 7. neurology: infant has maintained an appropriate neurologic examination throughout admission. head ultrasound was performed on 1 week of age and again at 1 month of age and both of these were within normal limits. 8. sensory: ophthalmology examination was performed for screening for retinopathy of prematurity, revealing initially immature retinas and then mature retinas without evidence of rop. examination at 9 months of age is recommended. hearing screen was performed and passed bilaterally. condition on discharge: stable. discharge disposition: home. primary pediatrician: dr. , phone # at at . care recommendations: a. feedings: infant will be discharged on nutramigen 24. a trial of breast milk can be considered in 2 to 4 weeks. b. medications: fer-in- 4 mg per kilogram per day, equivalent to 0.5 ml per day. c. car seat positioning screening was performed and passed. d. newborn screens were sent per protocol. initial newborn screen on was normal with exception of an elevated 17oh progesterone level. a repeat newborn screen on was within normal limits. e. immunizations received: the infant received hepatitis b vaccine on . synagis was given on . f. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following 3 criteria: 1) born at less 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. influenza immunizations 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 care-givers. follow-up: infant will follow up with primary pediatrician 2 to 3 days following discharge. vna referral will be made. discharge diagnoses: 1. prematurity at 30-5/7 weeks. 2. twin gestation. 3. mild respiratory distress syndrome. 4. apnea of prematurity. 5. presumed allergic colitis. 6. staph streptococcus non-aureus sepsis. 7. physiologic murmur. , md procedure: spinal tap incision of lung parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis 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 anemia of prematurity other specified conditions originating in the perinatal period observation for suspected genetic or metabolic condition other preterm infants, 1,500-1,749 grams septicemia [sepsis] of newborn 29-30 completed weeks of gestation allergic gastroenteritis and colitis 

Answer: The patient is high likely exposed to