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 27 week twin #2 male delivered by urgent cesarean section for rapidly progressing chorioamnionitis who is now 19 days old. pregnancy was remarkable for a 29 year old gravida 3, para 1 to 3 mom. prenatal screens revealed 0 positive, hepatitis b negative, rpr nonreactive, rubella immune. pregnancy was remarkable for probable monozygotic twinning but two separate sacks. this infant had premature prolonged rupture of membranes at 22/ 2/7 weeks gestation. she was beta complete by 22 4/7 weeks. she was readmitted to hospital at 23 weeks gestation for approximately 4?????? weeks hospitalization for bedrest and serial fetal surveillance. on the morning of delivery, mom presented with an abrupt temperature spike. bed shortage in the neonatal intensive care unit at hospital lead to rapid maternal transfer to for urgent delivery. delivery history: the infant was delivered by cesarean section under regional anesthesia. this twin was in the breech position requiring extraction. the baby arrived with occasional gasps, was dusky and pale with a heartrate between 60 and 80. the infant was given positive pressure ventilation with heartrate rise to greater than 80 and more gasping. there was slow but steady improvement with positive pressure ventilation over the next three to four minutes. apgars were 3 and 7 at one and five minutes respectively. the infant was intubated at five to six minutes for deep retractions and then transferred to the neonatal intensive care unit for further management. physical examination on admission: temperature 98.5, heartrate 170, respiratory rate 60. weight was 1130 gm. head circumference was 26.5 cm. length 36 cm. dextrose stick was 33. oxygen saturation was 98% on 100% oxygen. blood pressure was 44/19 with a mean blood pressure of 28 and 51/43 with a mean blood pressure of 46. the infant was dusky appearing, poorly perfused but pinked up with oxygen. limited activity. obvious breech facies, skull shaped, ears slightly down, nose compressed, right foot everted, marked bruising of the left leg, all except the foot. the anterior fontanelle was soft. there was a red reflex present bilaterally. the palate was intact. lungs revealed coarse breathsounds, somewhat faint but equal. heart revealed regular rhythm, no murmurs. pulses were okay in all extremities. belly was not distended. no bowel sounds were present. abdomen was soft, no masses. testes were not present in the scrotum. spine was normal. hips were not loose and there were no clicks present. tone was poor but there was some activity present on admission. hospital course: the infant was admitted to the intensive care unit and managed for respiratory distress. 1. respiratory - the infant had chest x-ray appearance consistent with surfactant deficiency. the infant received three doses of survanta early in the hospital course. despite this, however, the infant had very poor compliance and ultimately needed to be placed on high frequency auscultatory ventilation. despite transient improvements with exogenous surfactant. the infant was weaned gradually from the high frequency auscultatory ventilator and was transitioned to synchronized intermittent mechanical ventilation on day of life #5, having obtained a mean artery pressure of 9 and amplitude of 23 on high frequency ventilation. he has remained on synchronized intermittent mechanical ventilation from day of life #6 through today with settings that seem to have plateaued. he is currently on positive inspiratory pressure of 25, positive end-expiratory pressure of 5 and rate of 21 requiring 34-50% oxygen. his carbon dioxide is in the mid to high 50s on this with a ph of around 7.3. his breathsounds are coarse bilaterally. he is not getting any diuretics and is on caffeine. we hope that he will have decrease in his ventilatory requirements with time. his chest x-ray still shows bilateral density consistent with moderate bronchopulmonary dysplasia. it is possible that he will need to be started on some diuretics in order to maximize his ventilation. 2. cardiovascular - this infant had good blood pressures since birth and did not require any additional dopamine. he did not have any murmurs. he did not demonstrate any evidence of adductus arteriosus and there have been no other issues from a cardiovascular standpoint. 3. fluids, electrolytes and nutrition - this infant remained npo until day of life #5 to 6 until he was started on mother's milk and was advanced slowly. he has now attained full volume feeds at 26 cal/oz of mother's milk or preemie enfamil at 140 cc/kg/day. he does have some increased spits on occasion. she stools around once every other day. his abdomen is transiently distended. one kub obtained two days prior to this dictation or day of life #17 showed a question of possible pneumatosis in the bowel wall in the right lower quadrant, however, repeat films requested by radiology did not demonstrate the presence of any concerning finding. he once again had abdominal films obtained on , one in the morning and one in the evening due to unclear radiographic findings as well as abdominal distention. both of those films show improvement and his most recent film shows a normal bowel gas pattern for this infant. the infant has had a large heme negative stool today as well. 4. hematology - this infant has not required any blood transfusions as yet. the infant has been on a prolonged course of phototherapy due to persistent hyperbilirubinemia likely due to increased enterohepatic circulation and minimal stool output. the infant's bilirubin today was slightly over 3. his phototherapy has been discontinued. we will be checking a rebound bilirubin in the morning. he had a hematocrit on day of life #7 which was 33. we will be rechecking that. 5. infectious disease - this infant had a prolonged rupture of membrane in utero for approximately 5 weeks. hence he received a seven day course of antibiotics after delivery. lumbar puncture was unremarkable except for the presence of large blood. the infant received a seven day course of antibiotics. blood cultures were subsequently negative. he did not have a significant left shift. 6. neurology - head ultrasound was obtained after lumbar puncture showing blood. this was obtained on day life #3 to 4. there was bilateral intraventricular hemorrhage with no ventricular dilatation and no extension into the parenchyma. repeat head ultrasound one week later showed resolution of this hemorrhage with no evidence of ventriculomegaly. we would recommend repeat head ultrasound on both infants at 30 days of life. primary pediatrician is identified as dr. . this doctor is at hospital. the infants would be candidates for transfer to hospital once stable and off of mechanical ventilation. care recommendations: 1. feedings at discharge - 26 calorie premature enfamil or mother's milk at 140 cc/kg/day, given over 2?????? hours. 2. medications - the infant is only on caffeine currently along with supplemental iron and vitamin e. 3. state newborn screening status - this has been sent times two. discharge diagnosis: 1. 27 week premature infant 2. respiratory distress due to surfactant deficiency 3. bronchopulmonary dysplasia 4. sepsis evaluation completed 5. hyperbilirubinemia 6. feeding intolerance , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube other phototherapy diagnoses: twin birth, mate liveborn, born in hospital, delivered by cesarean section neonatal jaundice associated with preterm delivery chronic respiratory disease arising in the perinatal period congenital insufficiency of aortic valve other preterm infants, 1,000-1,249 grams 

Answer: The patient is high likely exposed to