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 a 1,495 gm male twin #2 born at 30 and 1/7 weeks by cesarean section due to preterm labor and concerns of maternal infection to a 33-year-old g 1, now p 2 mother. the pregnancy was complicated by preterm labor and question of urinary tract infection on and was initially admitted to . she was transferred to and treated with ampicillin, betamethasone and magnesium. she remained inpatient on and off magnesium for preterm labor. the day before delivery, she developed a fever to 103 and shaking chills. blood culture grew gram negative rods, as well as urine grew gram negative rods. she was treated with ceftriaxone. given preterm labor, rupture of membranes and concern for chorio prompted cesarean section on the day of delivery. in the delivery room, the baby emerged with a big cry. he was given blow-by oxygen in the delivery room only. apgars were eight and eight. prenatal screens b positive, antibody negative, hepatitis survey antigen negative, rubella immune, normal fetal survey. physical examination: on admission to neonatal intensive care unit was notable for inspiratory crackles and grunting, flaring and retracting. hospital course by systems: respiratory: on admission, the patient was intubated for continued respiratory distress and received one dose of surfactant. he was extubated to cpap by day of life two. by day of life three, he was on nasal cannula and was able to transition to room air by day of life nine. he required some additional flow by nasal cannula shortly after, but has remained on room air for the past seventy-two hours. cardiovascular: has remained hemodynamically stable after one normal saline bolus for perceived poor perfusion. he has had stable blood pressures. he was started on caffeine on day of life three. he remains on caffeine for occasional bradycardiac spells and is currently on a dose of 10 mg daily. has between one and five bradycardiac spells per day. he has never had a murmur. fluid/electrolytes/nutrition: he was initially started on 80 cc/kg/day of 10% dextrose solution. his daily fluids were increased to 160 by day of life five for significant weight loss greater than 10% of birth weight and then reduced to 130 cc/kg/day for concerns of reflux. he remains currently on 130 cc/kg/day. he was initially started on premature enfamil formula and now receives 28 calorie premature enfamil formula with promod. he receives vitamin e and iron. he has been on reflux precautions for large spits that occur one to three times per day. the mother plans to breast feed, but has had to waste her breast milk for the past two weeks as she was on ciprofloxacin for a continued bacteremia. the last electrolytes were within normal limits. glucose levels have always been stable. hematology: was started on phototherapy on day of life two. he had a peak bilirubin level on day of life four of 8.7 with a direct component of 0.5. phototherapy was discontinued on day of life six with a rebound the following day of 4.3 and 0.4. initial hematocrit was 56 with a repeat of 55 on day of life three. platelets were 241 on day of life one. infectious disease: was started on ampicillin and gentamycin on day of life one. initial white blood count was 8.2 with 23% polys and 0% bands. he had a repeat white blood count on day of life three for concerns of neutropenia that showed a white blood count of 7.5 with 38% polys. he has shown no concerns for infection. neurological: head ultrasound on day of life nine was normal. he still requires an eye examination when he is older than 32 weeks. routine health care management: has not received his hepatitis b vaccine. he has not yet had his hearing test. newborn screen was last sent on and was all within normal limits. discharge diagnosis: 1. prematurity. 2. feeding immaturity. 3. hyperbilirubinemia resolved. 4. rds resolved. discharge medications: 1. caffeine citrate 10 mg p.o. pg daily. 2. iron sulfate 0.1 cc p.o. pg daily. 3. vitamin e five units p.o. pg daily. discharge weight: on day of life sixteen, weight is 1,560 gm. physical examination on discharge: anterior fontanel soft, open and flat, normocephalic, atraumatic. equal air entry bilaterally with no grunting, flaring or retracting. clear breath sounds bilaterally. regular rhythm and normal rate. no murmur. abdomen is soft, nontender, nondistended with normoactive bowel sounds. 2+ femoral pulses. normal male genitalia with testes high in the canal. warm and pink with normal tone. reviewed by: , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy diagnoses: 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 other preterm infants, 1,250-1,499 grams 29-30 completed weeks of gestation 

Answer: The patient is high likely exposed to