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: baby is the 685-g product of a 24 week and day twin gestation born to a 28-year-old gravida 1, para 0 (now 2) white female. prenatal laboratories: prenatal screens revealed blood type a positive, antibody negative, rapid plasma reagin nonreactive, rubella immune, hepatitis b surface antigen negative, group b strep negative. prenatal course: in fertilization pregnancy with dichorionic-diamniotic twins. pregnancy complicated by vaginal bleeding at six weeks; treated with bed rest. diagnosed with cervical shortening on and treated with magnesium sulfate on to the . she was then transitioned to oral terbutaline. contractions recurred. she was treated with mgso4 and betamethasone on , 5 days ptd. physical examination on presentation: birth weight was 684 g (approximately 30th percentile). anterior fontanel soft/flat. eyes fused. bruising was noted on scalp. orally intubated. intact palate. breath sounds with crackly rales but bilaterally good aeration. no murmurs. decreased pulses. soft abdomen. a 4-vessel cord was noted?. no hepatosplenomegaly. normal male genitalia. testes not palpable. no hip click. patent anus. no sacral dimple. decreased tone and activity. significant bruising on back, arms, and legs. sensitive skin with redness at the site of previous lead placement. hospital course by issue/system: the mother was transferred from hospital to on . abdominal pain secondary to constipation; treated with aggressive bowel regimen. subsequently had recurrence of contractions and was restarted on magnesium sulfate. betamethasone complete on . on the day of delivery, the mother was found to have advanced dilatation with breech/vertex presentation. therefore, magnesium sulfate was discontinued and proceeded to cesarean section. this twin was delivered breech. ruptured membranes at delivery. initial heart rate was less than 100; given bag mask ventilation with a good response. intubated with a 2.5 endotracheal tube on first attempt. apgar scores were 5 and 7. 1. pulmonary system: the infant was intubated in the delivery room and received a total of three doses of surfactant for management of respiratory distress syndrome. maximum ventilatory settings were 25/5 with a rate of 25. infant transitioned to high-frequency ventilation with maximum high-frequency settings of mean arterial pressure of 11, delta p of 20. he has weaned off of the high-frequency ventilator and transitioned to conventional ventilator on . his current ventilator settings are 22/5, a rate of 32, requiring 40% to 50% oxygen. his most recent arterial blood gas was today was 7.37/34/53/20/ and minus 4. he was empirically started on caffeine citrate on . he continues on 8 mg/kg per day. 2. cardiovascular system: he initially required normal saline boluses and dopamine of 30 mcg/kg per minute; maximum over the first 24 hours. hydrocortisone therapy was initiated at that time with a good response. weaned off dopamine by day of life two. dopamine requirement reappeared on day of life five and was continued on dopamine for four days. his dopamine was discontinued on . his blood pressures have been stable at this point. his most recent bp was 47/27 with a mean of 34. he had multiple echocardiograms. an echocardiogram on which demonstrated no patent ductus arteriosus with a patent foramen ovale and muscular ventricular septal defect. on , clinical changes prompted questions about a patent ductus arteriosus. an echocardiogram revealed a moderate-to-large patent ductus arteriosus with continuous left-to-right flow and indomethacin course was initiated last night. he received his second dose of indomethacin today. his first course was done empirically on day of life one secondary to clinical concerns and high dopamine requirements and hydrocortisone to achieve normal bps. 3. fluids/electrolytes/nutrition: his birth weight was 684 g. his discharge weight was 680 g. he was initially started on 100 cc/kg per day of d-5-w. his maximum volume intake was 160 cc/kg per day of pnd-9 with intralipid. enteral feedings were initially started on day of life nine. he remained on those for approximately 24 hours. he was made nothing by mouth at that time for brown old bloody aspirates which he had since birth. the decision was made to retry enteral feeds, but they were never restarted secondary to coffee-grounds aspirates being obtained via nasogastric tube. on , the infant was noted to have an increase in abdominal girth, drain aspirates, and concerning examination prompted an x-ray which showed paucity of bowel gas. tube was placed to suction at that time and antibiotics were intiated. on examination today, the abdominal girth has gone up. the abdomen remained dusky in color with hypoactive bowel sounds. an x-ray revealed free air. his most recent set of electrolytes was on . these revealed 131, 4.9, 87. his sodium was adjusted and his parenteral nutrition in response to that low sodium. 2. gastrointestinal system: his peak bilirubin was on day of life nine of 4.4/0.4. his most recent was 2.7/0.5. he remains on phototherapy. at birth a question of a 4 vessel cord was raised prompting work-up for a possible urachal remnant. abdominal ultrasound was performed and was unremarkable. 3. hematologic issues: his blood type is a positive. coombs negative. the infant has required a total of 3 packed red blood cell transfusions with the most recent being on . his most recent hematocrit was 36.6% at 14:00. 4. infectious disease issues: initial complete blood count was obtained. the infant was started on ampicillin and gentamicin which he continued on for a total of 10 days for clinical concerns. a lumbar puncture was performed which was benign. on day of life fourteen, increased concerns for abdominal issues were going on. a complete blood count was obtained. the infant had a white blood cell count of 19.3, platelets of 183, 20 polys, and 7 bands. he was started on vancomycin and gentamicin at that time. clindamycin was added on with increasing concerns for necrotizing enterocolitis after physical examination. blood cultures have been negative to date. repeat cbc at 14:00 - wbc elevated to 41,700 with 76p 2b 19l plat 182,000. 5. neurologic issues: head ultrasounds were performed on day of life three, day of life seven, and day of life nine; and all were within normal limits. 6. psychosocial issues: a social worker has been involved with the family. the contact social worker is , and she can be reached at telephone number . condition at discharge: condition on discharge was guarded. discharge disposition: to . care recommendations: 1. a state newborn screen has been sent. a repeat was sent on . 2. medications: the infant is currently on vancomycin, gentamicin, clindamycin, caffeine citrate, and indomethacin. discharge diagnoses: 1. preterm boy born at 24 weeks and day gestation; now 15 days of age. 2. respiratory distress syndrome. 3. status post rule of sepsis with antibiotics. 4. necrotizing enterocolitis. 5. hyperbilirubinemia. 6. hyponatremia. 7. apnea and bradycardia of prematurity. 8. anemia of prematurity. 9. patent ductus arteriosus. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances insertion of other (naso-)gastric tube other phototherapy umbilical vein catheterization diagnoses: twin birth, mate liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery septicemia [sepsis] of newborn other transitory neonatal electrolyte disturbances 24 completed weeks of gestation late metabolic acidosis of newborn 

Answer: The patient is high likely exposed to