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 first born of twins, born at 34 and week gestation pregnancy to a 29 year-old, gravida i, para 0 woman. prenatal screens blood type 0 positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative. group beta strep negative. this was an in- fertilization pregnancy. the mother was admitted on with preterm labor. on the day of delivery, there was spontaneous rupture of membranes of twin #1. mother was also noted to have elevated liver function tests at the time of delivery with a suggestive diagnosis of pre-eclampsia. the infant was born by cesarean section. he emerged with spontaneous cry and good tone. he had routine care with blow-by oxygen. apgars were 9 at 1 minute and 9 at 5 minutes. he was admitted to the neonatal intensive care unit for treatment of prematurity. physical examination: physical examination upon admission to the nicu, weight was 2.485 kg, 75th percentile. length 46.5 cm, 50th to 75th percentile. head circumference 33 cm, 75th percentile. general: non dysmorphic, well-appearing preterm male with mild grunting. heent: anterior fontanel soft and flat. palate intact. neck supple. red reflex present bilaterally. chest: intercostal retractions, occasional grunting, fair aeration with diminished aeration at bases. cardiovascular: regular rate and rhythm. no murmur. 2+ femoral pulses. abdomen soft, no masses. genitourinary: normal preterm male. testes descended bilaterally. patent anus. musculoskeletal: hips stable. clavicles intact. no sacral anomalies. extremities pink with 2 to 3 second capillary refill. neuro: good grasp, plantar reflex and symmetric moro. slightly decreased tone consistent with degree of prematurity. hospital course by systems including pertinent laboratory data: 1. respiratory: was placed on continuous positive airway pressure upon admission to the neonatal intensive care unit. he was transitioned to room air by day of life #2 and has remained in room air for the rest of his neonatal intensive care unit admission. he had intermittent episodes of apnea and bradycardia, many associated with feeds. at the time of discharge, he is room air, breathing comfortably with a respiratory rate of 40 to 60 breaths per minute. he had no further spells during the five days prior to discharge. 1. cardiovascular: has maintained normal heart rate and blood pressure. a soft murmur was heard in the second week of life. an ekg was within normal limits. a chest x-ray shows normal heart size and four limb blood pressures were within normal limits. at the time of discharge, he has a baseline heart rate of 130 to 160 beats per minute; recent blood pressure of 64/27 with a mean of 43 and a grade ii systolic murmur at the left sternal border. by the time of discharge, the murmur no longer audible. 1. fluids, electrolytes and nutrition: was initially n.p.o. and maintained on iv fluids. enteral feeds were started on day of life #1 and gradually advanced to full volume. on approximately , he began having episodes of excessive vomiting and was made n.p.o. he was maintained again on iv fluids. a diagnosis of pyloric stenosis was made by ultrasound and he is n.p.o. awaiting surgical repair. his procedure was complete and he begin feeding the night after surgery. he tolereated the procedure well without complications. weight on the day of discharge is 3.395 kg. 1. infectious disease: due to the prematurity and respiratory distress, was evaluated for sepsis upon admission to the neonatal intensive care unit. a complete blood count was within normal limits. a blood culture was obtained prior to starting iv ampicillin and gentamycin. the blood culture was no growth at 48 hours and the antibiotics were discontinued. on day of life #4, he had a significant episode of oxygen desaturation requiring blow-by oxygen. a repeat blood count was repeated and was within normal limits. a blood culture was obtained and he received 48 hours of vancomycin and gentamycin pending that blood culture which was also no growth. 1. gastrointestinal: as previously noted, has been diagnosed with a pyloric stenosis and had a surgical repair. 1. neurologic: has maintained a normal neurologic exam during admission and there are no neurologic concerns at the time of discharge. 1. sensory: audiology. hearing screening was performed with automated auditory brain stem responses. passed in both ears. condition on discharge: stable. discharge disposition: discharge to home with parents. primary pediatrician: dr. in , ma. phone ( fax ( care and recommendations: 1. at the time of discharge, is ad lib po feeds. 2. no medications. 3. car seat position screening was passed prior to discharge. 4. state newborn screens were sent on and with no notification of abnormal results to date. 5. hepatitis b vaccine was administered on . 6. he will need surgical follow up two weeks after discharge with dr. of . discharge diagnoses: 1. prematurity at 34 and 4/7 weeks gestation. 2. twin #1 of twin gestation. 3. transitional respiratory distress. 4. suspicion for sepsis, ruled out twice. 5. pyloric stenosis. 6. cardiac murmur resolved. 7. status post circumcision on . 8. apnea of prematurity , md procedure: enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation prophylactic administration of vaccine against other diseases circumcision pyloromyotomy 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 bradycardia other preterm infants, 2,000-2,499 grams routine or ritual circumcision 33-34 completed weeks of gestation transitory tachypnea of newborn other apnea of newborn congenital hypertrophic pyloric stenosis 

Answer: The patient is high likely exposed to