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 is a 1780 gram baby boy, product of a twin gestation. this is twin #2. he was born to a 36-year-old primigravida female at 33-1/7 weeks gestation. the mother presented for admission with preterm labor, was treated with tocolysis and betamethasone and proceeded to delivery. there were no sepsis risk factors noted. prenatal history: screens are notable for a+, antibody negative, hep b surface antigen negative, hiv negative, hep c negative and gbs unknown. family and social history: noncontributory. the indication for the c-section was secondary to breech presentation. at delivery, the infant emerged vigorously, given blow-by o2, the apgars were 8 and 9, and brought to the nicu for further care. admission examination: the weight was 1780 grams, length 41 cm and head circumference ws 31 cm. discharge physical examination: weight, head circumference and length need to be entered here. in general, the patient was well-appearing in no acute distress. on heent exam, the anterior fontanel was open and flat. the red reflex was present bilaterally. the lungs were clear to auscultation bilaterally. the abdomen was soft, nontender, nondistended, no hepatosplenomegaly. on gu exam, the patient is an uncircumcised male with testicles descended bilaterally. the anus is patent. the hip exam is normal. there are no clicks or clanks. the infant is warm and well-perfused. on neuro, he has symmetric moro, symmetric grasp, normal tone for age, and normal sucking and rooting reflex. brief hospital course by system: 1. respiratory: the patient has been on room air since birth, has not had any issues. he has continued to have apnea of prematurity and apnea and bradycardia spells. he was spell-free for 5 days prior to discharge. he was never on any caffeine for the spells. 2. cardiovascular: the patient has been stable. he does not have any murmurs on exam. blood pressure has been stable. 3. fen: the patient was initiated on iv fluids and advanced to breast milk 24 cal/oz. he predominantly receives breast milk with some formula. the patient on , was taken from 24 calories to 20 calories, both for adequate weight gain and appropriate intake, as well as the fact that he had some loose stools at that time which have improved. the patient also had a stool culture sent which was negative. discharge weight 3100gm. 4. gi: the patient has been stable. he received some phototherapy for hyperbilirubinemia which resolved. 5. infectious disease: the patient received an initial course of 48 hours of antibiotics with ampicillin and gentamicin. the blood cultures were no growth to date. there have been no further issues. 6. neurology: the patient has had reassuring exam. he did not meet the criteria to receive a head ultrasound. 7. sensory - a) audiology: hearing screen was performed with automated auditory brainstem responses. the patient passed the test. b) ophthalmology: the patient was not examined because he is over 32 weeks' gestation and over 1500 grams. 8. psychosocial: the family was given updates of the status. there have not been any issues. condition on discharge: stable. discharge disposition: to home. primary care pediatrician: dr. , phone number (. care and recommendations: 1. feeds at discharge: breast milk 20 cal/oz or enfamil 20 cal/oz or breastfeeding. 2. medications at discharge: goldline multivitamin 1 ml once daily and iron as ferrous sulfate 4 mg/kg/d at 0.6 ml p.o. once daily. 3. iron and vitamin d supplementation: a. iron supplementation is recommended for preterm and low birthweight infants until 12 months corrected age. b. all infants fed predominantly breast milk should receive vitamin d supplementation at 200 international units which may be provided as a multivitamin preparation daily until 12 months corrected age. 4. car seat position screening: normal. 5. newborn state screens were appropriate. 6. patient received hepatitis b vaccination on . the patient did not receive a synagis vaccination because he does not meet the qualification criteria. he is between 32 and 35 weeks gestation; however, only one risk factor is present which includes a school-aged sibling at home. he has a 9-year-old brother. 7. immunizations recommended: a. synagis rsv prophylaxis should be considered from through for infants who meet any of the following 4 criteria: 1) born at less than 32 weeks, 2) born between 32 and 35 weeks with 2 of the following: daycare during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities or school- aged siblings; 3) chronic lung disease; or 4) hemodynamically significant or congenital heart disease. b. influenza immunization is recommended annually in the fall for all infants once they reach 6 month's 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. c. this infant has not received rotavirus vaccine. the american academy of pediatrics recommends initial vaccination of preterm infants at or following discharge from the hospital if they are clinically stable and at least 6 weeks but fewer than 12 weeks of age. the patient is recommended to have a follow-up appointment in days after discharge. we discussed the patient's course with the primary care pediatrician over the phone prior to discharge. discharge diagnoses: 1. prematurity, 33-1/7 weeks' gestation. 2. twin gestation. 3. hyperbilirubinemia. 4. apnea of prematurity. 5. feeding immaturity. 6. breech presentation. , md procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances other phototherapy prophylactic administration of vaccine against other diseases 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 neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia other preterm infants, 1,750-1,999 grams 33-34 completed weeks of gestation 

Answer: The patient is high likely exposed to