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 boy, , twin no. 2, the former 31 and week premature twin infant admitted to the newborn intensive care unit with prematurity. he was born at 12:59 p.m. on , weighing grams, product of a 31 and 5/7 weeks twin gestation, born to a 36 year old g4, p2-4 mother with an estimated date of confinement of . prenatal labs include o positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, gbs unknown. the pregnancy was the in fertilization conception with di-di twin gestation. mother presented to hospital on with preterm labor. she was treated with magnesium sulfate, penicillin and betamethasone. she was transferred to the on the morning of delivery with progressive preterm labor and had magnesium sulfate discontinued due to adverse side effects. preterm labor progressed and she was taken for a repeat cesarean section. she would have been betamethasone complete on the evening of delivery at 10 p.m. twin no. 2 emerged with moderate tone and respiratory effort becoming vigorous with stimulation and blow by oxygen. apgars were 6 at 1 minute and 9 at 5 minutes. physical examination: birth weight grams, transfer weight 1870 grams - 75th to 90th percentile. head circumference 31.75 - 90th percentile, length 43.5 cm - 50th to 75th percentile. vital signs: temperature 98.7, heart rate 140, respiratory rate 40, blood pressure 62/38 with a mean of 47, oxygen saturations 95 percent on room air. general: a well appearing premature infant in moderate respiratory distress. heent: fontanel soft, and flat. palate intact. ears, and nares normal. skin: warm and pink with issues. chest: moderate aeration course with grunting, flaring and retracting. cardiac: regular rate and rhythm. no murmur. extremities: femoral pulses 2+. no edema. within normal range. abdomen: three-vessel cord. soft and nontender. no masses. no hepatosplenomegaly. genitourinary: normal male testes and inguinal canal bilaterally. normal phallus, patent anus. neurologic: tone and activity appropriate for gestational age. review of hospital course by systems: respiratory: the baby did require continuous positive airway pressure, 6 to 5 cm and transitioned off this to room air on day of life 1 with no further respiratory distress. respiratory rate in the 40s to 60s. the baby has had an occasional episode of apnea and bradycardia. he is not on any methylxanthine treatment at this time. cardiovascular: the baby has been stable. baseline heart rate 130 to 150s, blood pressure 60s/30s to 40s with means in the 40s to 50s. fluids, electrolytes and nutrition: the baby initially was npo with peripheral intravenous fluids and initial dextrose stick of 27. he received 2 ml/ kg bolus with subsequent dextrose sticks greater than 50. enteral feedings were introduced on day of life 1 once his respiratory distress had subsided. at the time of transfer, the baby was taking 50 ml/kg pg with total fluids at 120 ml/kg/ day receiving d10w with 2 milliequivalents of sodium chloride per 100. the baby is voiding greater than 3 cc per kg per hour and passing meconium stool. abdomen is nontender, nondistended. current weight is 1825g. electrolytes on , were hemolyzed with a sodium of 138, potassium 6.6, chloride 104, co2 of 25. the plan was to repeat electrolytes and bilirubin on . gastrointestinal: the patient has had a peak bilirubin on day of life 20 of 8.8, 8.2, 8.6. he has not received any phototherapy to date. hematology: he has not required any blood products during this admission. infectious disease: on admission because of premature delivery and respiratory distress, he had a cbc and blood cultures sent to rule out infection. he had a white count of 10.9, 47 polys, 0 bands, platelets 232,000, hematocrit of 59.7. the baby received 48 hours of ampicillin and gentamycin at 48 hours. the baby was clinically well. cultures were negative. the antibiotics were discontinued. there have been no further issues with infection. neurology: the plan was to get a head ultrasound on . the baby is clinically appropriate for gestational age. sensory audiology screening has not been performed at the time of his transfer. ophthalmology: eye examination has not been performed at the time of transfer. psychosocial: parents look forward to transfer close to home. discharge disposition: transferred to hospital. name of primary pediatrician: undecided at the time of transfer. care recommendations: continue to advance enteral feedings, breast milk or special care 20 15 ml/kg b.i.d. advance total fluids with a plan to get to a goal of 150 ml/kg per day. medications: none at the time of transfer. car seat position screen: not performed at the time of transfer. the state newborn screen: initial screening sent on , pending. immunizations received: none to date. immunizations recommended: 1. synagis rsv prophylaxis should be considered from through for infants who meet any of the following three criteria. a. born within 32 weeks. b. born between 32 and 35 weeks with two of the following: 2. daycare during the rsv season. 3. a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings. 4. with chronic lung disease. 1. 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. follow up appointments to be determined at the time of discharge. discharge diagnosis: preterm 31 and 5/7 weeks twin no. 2. status post respiratory distress syndrome. status post rule out sepsis with antibiotics. status post apnea and bradycardia of prematurity. , dictated by: medquist36 d: 22:07:01 t: 23:52:23 job#: procedure: enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation diagnoses: 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 neonatal bradycardia other preterm infants, 1,750-1,999 grams neonatal hypoglycemia 31-32 completed weeks of gestation 

Answer: The patient is high likely exposed to