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: - is the former 1.895 kilogram product of a 34 and week gestation pregnancy, born to a 31 year old gravida v, para iii woman. prenatal screens: 1. laboratory data: blood type is o positive, antibody negative, rpr nonreactive, hepatitis b surface antigen negative, rubella immune, gbs negative. 2. mother's medical history is notable for epilepsy, currently on no medications. 3. past obstetrical history notable for vaginal deliveries in , and . this pregnancy was conceived by ivf with an estimated date of confinement of . dichorionic diamniotic twins were noted on prenatal ultrasound. the pregnancy was complicated by incompetent cervix and preterm labor. mother was hospitalized , to , for cervical incompetence at which point a cerclage was placed and the mother was started on indomethacin and nifedipine. she was readmitted again on , for recurrent preterm labor. she was beta complete at 24 weeks. on the day of delivery, the mother presented in spontaneous labor. she was allowed to progress with pitocin augmentation. rupture of membranes occurred five hours prior to delivery with clear fluid. she received one dose of clindamycin for unknown gbs status. she received epidural anesthesia. there was no maternal fever or fetal tachycardia. the infant was born by spontaneous vaginal delivery. apgar was seven at one minute and eight at five minutes. she was admitted to the neonatal intensive care unit for treatment of prematurity. physical examination: upon admission to the neonatal intensive care unit, weight was 1.895 kilograms, 25th to 50th percentile, length 41 centimeters and 10th percentile, head circumference 29 centimeters and 10th percentile. general, the infant is a nondysmorphic infant in no acute distress. head, eyes, ears, nose and throat - anterior fontanelle is soft and flat. eyes with red reflux visualized both. ears normally set without anomalies. palate intact. clavicles intact. neck supple. chest - the lungs are clear to auscultation, equal breath sounds, some periodic breathing. cardiovascular - regular rate and rhythm, no murmur, 2+ femoral pulses. the abdomen is soft, positive bowel sounds, no hepatosplenomegaly. genitourinary - normal female, patent anus. spine - no sacral anomalies. extremities - hips stable. extremities are pink and well perfused. neurologic - normal and symmetrical tone and activity. hospital course: 1. respiratory - required blow by oxygen briefly at the time of admission and then weaned to room air. she has been in room air her entire neonatal intensive care unit admission. she has not had any episodes of spontaneous apnea or bradycardia. 2. cardiovascular - a soft murmur was heard on day of life two and has continued to be heard intermittently. it is consistent with peripheral pulmonic stenosis. no cardiovascular sx or compromise. will need routine follow-up by pediatrician. 3. fluids, electrolytes and nutrition - has p.o. feeds from day of life one. she has been breast feeding and bottle feeding, taking in greater than 130cc per kilogram per day. we supplemented her calories to 24 calories per ounce to facilitate growth. her discharge weight is 1.87 kilograms. 4. infectious disease - due to the unknown gbs status of the mother and prematurity, was evaluated for sepsis. a white blood cell count was 11.2 with a differential of 25% polys, 0% bands. a blood culture was obtained prior to starting intravenous ampicillin and gentamicin. the blood culture was no growth at 48 hours and the antibiotics were discontinued. 5. gastrointestinal - peak serum bilirubin occurred on day of life one with a total of 6.6/0.3 mg/deciliter with subsequent repeat levels lower with one most recently on , of a total of 3.6/0.3 direct. she did not receive any treatment. 6. neurologic - has maintained a normal neurological examination during admission and there were no neurological concerns at the time of discharge. 7. sensory - hearing screening was performed with automated auditory brain stem responses. the infant passed in both ears. condition on discharge: good. discharge disposition: home with parents. primary pediatrician: dr. , , , , , telephone . care and recommendations at discharge: 1. breast feedings or ad lib p.o. feedings, breast milk four to five to 24 calories per ounce with enfamil powder or enfamil 24 calorie formula. 2. no medications. 3. car seat position screening was performed. the infant was observed for ninety minutes in her car seat without any oxygen or heart rate drop. 4. state newborn screen was sent on day of life three and repeat on . no notification of abnormal results to date. 5. immunizations received - hepatitis b vaccine administered on . 6. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet either of the following three criteria: a. born at less than 32 weeks. b. born between 32 and 35 weeks with two or more of the following plans for day care during rsv season, with a smoker in the household, neuromuscular disease, airway abnormalities or with school siblings. c. 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 caregivers should be considered for immunization against influenza to protect the infant. 7. follow-up appointments - with primary pediatrician, dr. , within three days of discharge. discharge diagnoses: 1. prematurity at 34 and 3/7 weeks gestation. 2. twin i of twin gestation. 3. suspicious for sepsis ruled out. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances diagnoses: observation for suspected infectious condition neonatal jaundice associated with preterm delivery other preterm infants, 1,750-1,999 grams 33-34 completed weeks of gestation twin birth, mate liveborn, born in hospital, delivered without mention of cesarean section 

Answer: The patient is high likely exposed to