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 admitted to the nicu for prematurity, respiratory distress and apnea at 32 1/2 weeks gestation. mother is a 41 year-old, g7, p0 now 2 mother with of , status post sab times five (status post ivf). prenatal screens: a positive, antibody negative, rpr nonreactive, rubella immune, gbs unknown. gestational diabetes mellitus. this was an ivf assisted pregnancy which resulted in a mono/di identical twin gestation sons. mother had increased blood pressure since weeks gestation and hemolyzation and recurrent problems with tachycardia. her echo was normal. there was no etiology found by cardiology. mother had complete course of betamethasone in anticipation of prematurity delivery. mother had significant complications during delivery due to maternal history of paroxysmal nocturnal hemoglobinuria (hemorrhaging that required transfusions times 9 units of blood and required embolization of uterine arteries). cesarean section delivery was scheduled for this pregnancy at this gestation to reduce increasing risks of the mother in later gestation and to conduct delivery under a more controlled circumstance. past medical gyn surgical history: her procedure was colposcopy, laparoscopy, ivf and 2 d&e. mother was on lovenox. the delivery occurred under general anesthesia due to her maternal paroxysmal nocturnal hemoglobinuria. infant emerged with a spontaneous cry, was dried, warmed and pinked on his own. had some periodic apnea and periodic breathing. was treated with facial cpap and oxygen. infant responded well to stimulation and facial cpap. pinked up well, was well perfused and active. had apgars of 8 and 9 and was transferred to the nicu. physical examination: at birth, the weight was 1870 grams with is 50th percentile. head circumference of 30.5 cm which is 25th to 50th percentile and length of 43 cm which is 25 to 50th percentile. physical examination at discharge shows anterior fontanel open and flat with opposing sutures, normal facies, intact palate, supple. ears normal. respiratory: breath sounds clear and equal with no retractions. comfortable respiratory effort. cardiovascular: normal s1 and s2, no audible murmur, normal pulses, well perfused, brisk capillary refill. gastrointestinal: abdomen soft, round, no masses. active bowel sounds. patent anus. genitourinary: normal male, circumcised, well healed circumcision. descended testes. musculoskeletal: normal extremities. good tone. hips intact. spine straight. slight sacral dimple, not deep and closed. neuro: tone and activity normal for gestational age. grossly normal neurologic exam. hospital course by systems: respiratory: the infant developed worsening respiratory distress on admission to the nicu, requiring intubation and surfactant administration, times 2 doses of surfactant. within 24 hours of age, the infant extubated to cpap and then further progressed to room air by day of life 3, . he has remained on room air since that time. he has had occasional apnea and bradycardia episodes, none requiring methylxanthine therapy. at discharge, the infant completed a 5 day spell count. cardiovascular: the infant has maintained normal cardiovascular status with an intermittent audible murmur which began presenting at 12 days of age in a clinically stable infant. the murmur sounds like ptf murmur and insignificant. has normal blood pressures and pulses. fluids, electrolytes and nutrition: the infant was started on iv fluids on admission to the nicu due to the respiratory distress. enteral feedings were initiated at 24 hours of age and further advanced. the infant achieved full enteral feedings by . calories were further advanced to 26 calories per ounce. as the infant's weight improved, the calories were then decreased down to 20 calories per ounce. the infant is presently ad lib p.o. feeding enfamil 20 calories per ounce and taking approximately 240 ml/kg per day and gaining weight well. the most recent weight is 3280 grams which is up 70 grams in the last 24 hours prior to discharge. the infant has not had any electrolytes measured recently. all the growth parameters are 75th percentile or greater for head circumference, weight and length for gestational age at this time. gastrointestinal: the infant developed hyperbilirubinemia requiring phototherapy. he had a peak bilirubin level of 9.4 over 0.3 and received a total of 3 days of phototherapy. hematology: no blood typing has been done on this infant. the infant has required no blood product transfusions. the most recent hematocrit is 29.3 on with a retic count of 2.9%. neurology: the infant has maintained a normal neurologic exam for gestational age. head ultrasounds were done due to the infant being born less than 32 weeks gestation. normal head ultrasounds were exhibited on and . infectious disease: cbc and blood culture were screened on admission due to the respiratory distress at birth. the cbc was normal at that time. blood culture was also sent and the infant was given 48 hours of ampicillin and gentamycin which were subsequently discontinued when the blood culture remained negative. sensory: audiology: a hearing screen was performed with automated auditory brain stem responses and the infant passed in both ears. ophthalmology: the infant did not meet rop screening criteria. psychosocial: social worker has been in contact with the family. there are no active issues but if there are any concerns, she can be reached at . condition on discharge: good. discharge disposition: home with the parents. name of primary pediatrician: , md, telephone number . care recommendations: ad lib p.o. feeds of enfamil. medications: the infant is on iron supplementation, ferrous sulfate at 0.25 ml per day which is 2 mg/kg per day. 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: state newborn screen was sent on . results were normal. immunizations received: the infant received the hepatitis b 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 scheduled with the pediatrician on . vna visit is scheduled for . discharge diagnoses: 1. prematurity born at 31 and 5/7 weeks gestation. 2. respiratory distress syndrome, resolved. 3. sepsis ruled out. 4. hyperbilirubinemia resolved. 5. apnea of prematurity resolved. 6. anemia of prematurity, ongoing. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases circumcision diagnoses: 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 respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia anemia of prematurity other preterm infants, 1,750-1,999 grams routine or ritual circumcision 31-32 completed weeks of gestation 

Answer: The patient is high likely exposed to