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: the infant is a former 27 and week gestation, twin number 2, admitted to the nicu for respiratory distress and prematurity. on the day of transfer, the infant corrected to 35 and 3/7 weeks. maternal history: the mother is a 38-year-old, gravida 1, para 0-2, woman, with a past medical history notable for infertility and hypothyroidism treated with levothyroxine. prenatal screens include blood type a positive, dat negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, group b strep unknown. antenatal history: pregnancy was conceived through ivf resulting in diamniotic-dichorionic twin gestation with of . pregnancy was complicated by cervical shortening and preterm labor leading to admission in . the mother was readmitted earlier the week prior to delivery with cervical shortening and received betamethasone with a course completed four days prior to delivery. delivery was by cesarean section for progressive labor with a breech twin presentation. membranes were ruptured at delivery yielding clear amniotic fluid. there was no intrapartum fever or other clinical evidence of chorioamnionitis. cord prolapse of twin number 1 occurred through the operative incision. neonatal course: this infant emerged hypotonic and apneic with a heart rate of 90. he was orally and nasally bulb suctioned, dried, and given bag mask ventilation for 1-2 minutes followed by the onset of spontaneously respirations and resolution of bradycardia. apgar scores were 4 at one minute and 8 at five minutes. the baby was transferred uneventfully to the nicu in free-flow 100 percent oxygen and intubated on admission for the onset of intercostal retractions and grunting respirations. admission physical exam: general: birth weight 1045 g, 50th percentile, head circumference 25 cm, 25th percentile, length 36 cm, 25th percentile. vital signs: temperature 96.7 which improved to 98.6 with appropriate warming. heart rate 156, respiratory rate 44, blood pressure 51/33, with a mean of 39, oxygen saturation 98 percent in 40 percent oxygen. heent: physical examination included an anterior fontanel open and flat, nondysmorphic features. palate intact. neck and mouth normal. moderate nasal flaring. normocephalic. chest: moderate retractions on spontaneous breaths. fair excursion with intermittent mechanical ventilation. breath sounds clear and symmetric with endotracheal tube traction. cardiovascular: the infant appeared well perfused. he had a regular, rate, and rhythm. no murmur. normal s1 and s2, split. femoral pulses normal. abdomen: soft and nondistended. no organomegaly. no masses. active bowel sounds. three-vessel cord. patent anus. gu: normal male genitalia. testicles undescended bilaterally. central nervous system: active and responsive to stimulation. appropriate tone for gestational age. moves all extremities symmetrically. intact gag. integument normal. musculoskeletal: normal spine, limbs, hips, and clavicles. hospital course: cardiovascular: the infant required two normal saline boluses followed by a dopamine infusion with a maximum rate of 7.5 mcg/kg/min to maintain blood pressures in the normal range. dopamine was discontinued after 24 hours, and blood pressures remained stable. an echocardiogram was performed on day of life 17 to rule out a patent ductus arteriosus. this echocardiogram revealed normal heart structure and no pda. central axis was performed with an umbilical arterial catheter and an umbilical venous catheter, both of which were in place until day of life 6, at which time a picc line was placed, and uauvc lines were discontinued. the picc remained in place until day of life 16. current blood pressure is 78/38 (51). respiratory: the infant required surfactant replacement times three doses and was on mechanical ventilation with maximum settings of 18/5 and a rate of 30. he was extubated to cpap of 7 cm on day of life 5 following a loading dose of caffeine. he remained extubated until day of life 11, and due to progressive apnea and desaturations and work of breath, was reintubated. he remained reintubated until day of life 18 when he was again extubated to cpap. the infant continued on caffeine until day of life 28, at which time it was discontinued. he was transitioned from cpap to nasal cannula on day of life 42 which was . he continues on nasal cannula with 300 cc flow and 40 percent oxygen with respiratory rates of 50s to 70s and saturation 93%. he continues to have occasional drifts in his oxygen saturation requiring increased concentration of his fio2. overall he has comfortable work of breathing and has clear and equal breath sounds. the infant had lasix on two occasions following blood transfusions but did not require diuretic therapy. fen: the infant was npo until day of life 7. he was maintained on parenteral nutrition and intralipids and was euglycemic upon admission and remained so on his intravenous fluids. electrolytes were monitored and remained in the normal range on pn. he did require the administration of neut bicarbonate times two on day of life 6 and 7 for metabolic acidosis which improved. he was started on enteral feeds at day of life 7 with mother's milk and advanced 10 cc/kg b.i.d.. he achieved full enteral feedings by day of life 16. at this time, he was advanced on calories to a maximum of breast milk 30 with promod. he currently receives breast milk 30 with promod at 130 cc/kg/day. his weight gain has averaged 20 g/kg/day over the last week. the infant is also on vitamin e and iron which was started on day of life 18. weight at the time of discharge is 2195 g. head circumference is 30.5 cm. length is 44 cm. the infant started to p.o. feed and breast feed about one week ago. the mother has been meeting with lactation and putting the infant to breast with good success. gastrointestinal: the infant is status post phototherapy for physiologic jaundice which peaked on day of life 9 with a serum bilirubin of 5.0/0.3. phototherapy was discontinued on day of life 12, and this is a resolved issue. due to concern for a gastroesophageal reflux, the infant was started on reglan and zantac on day of life 46, . there was noted to be clinical improvement. he continues on reglan and zantac at the time of transfer. as mentioned, he continues on vitamin e and iron. he had nutrition labs which were last noted on with a calcium of 9.5, phosphorus of 5.9, and alkaline phosphatase of 409. the infant has a normal voiding and stooling pattern and has had occasional heme positive stools which were felt to be due to aphagia. hematologic: initial cbc was notable for a white count of 5.0 with 28 polys and 0 bands, a hematocrit of 44.9, and platelets of 265,000. the infant received three blood transfusions of packed red blood cells, the first on day of life 5, which was ; the second of which was on day of life 27, and the last was received on day of life 45, which was for a hematocrit of 25.7, and a retic of 5.3 percent. infectious disease: initially course of ampicillin and gentamicin continued for 48 hours with negative cultures. on day of life 15, a sepsis evaluation was performed for increased spells and lethargy. vancomycin and gentamicin were administered for 48 hours and were stopped with negative cultures. the infant experienced excoriation of his nose due to prolonged treatment with cpap and was treated with bactroban. he also had some eye drainage associated with that and received erythromycin ointment for five days which ended on . due to concern for cellulitis of the nose, orl was consulted, and the infant received oxacillin and gentamicin for three days. the oxacillin was discontinued, and vancomycin was started in its place, and the infant received a full seven- day course of vancomycin and gentamicin for cellulitis of his nose. levels were obtained and noted to be in the normal range for both vancomycin and gentamicin. he completed the seven-day course on day of life 43 which was . his nose is much improved without excoriation or erythema. neurologic: head ultrasounds were obtained screening for ivh on day of life 1, 7, and 30, all of which were normal. it is recommended that an ultrasound or mri is obtained at term or prior to discharge. audiology: hearing screen has not yet been performed but is recommended prior to discharge. ophthalmology: the infant had his initial screening ophthalmology examination on and was found to have immature retinas to the zone ii. a follow-up exam on revealed stage i, zone ii rop with 8 clock hours and 7 clock hours on the left. follow-up exam today also showed zone 1, stage 1, now with 12 clock hours bilaterally. psychosocial: social worker, , has been involved with this family. she may be reached at . the infant's twin died at approximately day of life 6, and this family was appropriately saddened, and services were attended by the family. the family is greek-speaking. the father has been the primary communicator. the mother does not speak english and requires a greek interpreter for lactation consulting, newborn care, and basic infant care. the father likes to be contact with any change in the baby's care and condition so that he is up-to-date with all events. his cell phone number is (. condition on discharge: stable. discharge disposition: to level ii nursery. primary pediatrician: has not yet been identified. the family lives in . care and recommendations: feedings at the time of discharge: breast milk 30 calories with promod, that is made with human milk fortifier, mct oil, and polycose with the addition of promod by p.o. or pg. pg feeds are over one hour. at the time of transfer, the infant is approximately half p.o. and half pg, plus breast, 130 cc/kg/day, total fluids. discharge medications: 1. iron 2 mg/kg/day (0.2ml once daily) 2. vitamin e 5 iu po/pg daily, 3. metaclopromide 0.2mg q8h pg 4. zantac 4.54 mg q8h pg. car seat position screening: has not yet been performed. state newborn screening: has been performed according to the recommended intervals and have been normal to date. immunizations received: none at this time. the infant is approaching two months of age and will be eligible for his two-month vaccine. immunizations recommended: synagis rsv 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 two of the following: daycare during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities, or school-age siblings, and 3) with chronic lung disease. influenza immunization is recommended annually in the fall for all infants once they reach six months of age. before this age (and for the first 24 mos of the child's life), immunization against influenza is recommended for household contacts and out-of-home caregivers. follow up: recommended with primary care physician, yet to be determined, and ophthalmology. discharge diagnosis: 1. surviving twin, prematurity at 27 and 3/7 weeks. 2. respiratory distress syndrome 3. chronic lung disease. 4. rule out sepsis. 5. cellulitis of the nose. 6. apnea of prematurity. 7. anemia of prematurity. 8. physiologic jaundice. 9. retinopathy of prematurity. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation non-invasive mechanical ventilation arterial catheterization laryngoscopy and other tracheoscopy other phototherapy transfusion of packed cells umbilical vein catheterization diagnoses: acidosis 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 27-28 completed weeks of gestation neonatal bradycardia anemia of prematurity other specified conditions originating in the perinatal period retrolental fibroplasia other diseases of lung, not elsewhere classified other preterm infants, 1,000-1,249 grams other and unspecified atelectasis other apnea of newborn neonatal conjunctivitis and dacryocystitis 

Answer: The patient is high likely exposed to