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: baby is a former 28 and 6/7 weeks gestation aged twin, admitted to neonatal intensive care unit with prenatally diagnosed hydrocephalus and respiratory distress. he was born to a 30 year old, gravida i, para 0, now ii woman, with unremarkable past medical history. prental screens included blood type 0 positive, coombs negative; hepatitis b surface antigen negative; rpr non reactive; rubella immune. pregnancy was via in- fertilization, and was a twin gestation with edc of for esimated gestational age of 28 and 6/7 weeks on day of delivery. this pregnancy was complicated by (1) cervical shortening on bed rest since . (2) subchorionic hemorrhage on twin a. (3) ventriculomegaly and two vessel umbilical cord on twin b, noted on . magnetic resonance scan subsequently showed diffused marked ventriculomegaly and irregularity of ventricular walls, possibly associated with hemorrhage as well as possible cortical dysplasia. amniocentesis was declined. mother developed spontaneous preterm labor, treated with betamethasone on , but progressing, leading to delivery by c-section on that same day. arom at delivery yielded clear amniotic fluid. no intrapartum fever or other clinical evidence of chorioamnionitis were noted. neonatal course: the infant emerged with adequate tone but initially inconsistent respiratory effort, requiring brief ppv in delivery room. subsequently pink on 100 percent blow-by oxygen with mild grunting and intercostal retractions. apgars 7 at one minute and 8 at five minutes. infant was transferred uneventfully to the neonatal intensive care unit for further evaluation. physical exam on admission: bw 1310 grams (50-75th %ile), hc 29.5 cm (75th-90th %ile), l 41 cm (75th ile). exam notable for premature infant c/w 28 wks gestation, full but soft anterior fontanelle with mild splitting of sutures, non-focal neurologic exam, moderate respiratory distress with coarse breath sounds, 2- vessel umbilical cord with no abdominal masses, and appropriate tone and perfusion. hospital course: respiratory: infant was intubated shortly after birth for rds, and treated with one dose of surfactant. he responded well, weaning to cpap by dol#2 and to room air by dol#3. other than requiring reintubation for surgery (see below), he has remained stable in room air since that time. he developed moderate apnea of prematurity treated with caffeine from to . last apnea spell was noted on . cv: infant remained hemodynamically stable throughout admission without need for pressor support or evidence of pda. a soft, high-pitched systolic murmur was noted over the course of hospitalization, persistent at the time of discharge. cxr, ekg, and 4-extremity bp were within normal limits. cardiology consultation was obtained on ; the murmur was felt to be consistent with peripheral pulmonary stenosis, although a vsd could not be excluded, and outpatient echo was arranged. fen: the infant was intially maintained on ivf and pn, and did require two extra d10w boluses shortly after birth for hypoglycemia. blood sugars have remained stable since that time. enteral feedings were introduced on dol#2 and advanced without difficulty to full volume enteral feeds at 150 kg/day by dol#7. calories were gradually increased to maximum 30 cals/oz with supplemental promod. po feedings were introduced and advanced as tolerated; full po feedings were acheived by . he is currently feeding breast milk 24 calories/oz (4 cals/oz enf powder) ad lib, taking in greater than 140 ml/kg/day. he is also receiving supplemental vi-day- 1 ml p.o. q day and fer-in- 25 mg/ml, .25 ml p.o. q. day which equals 2 mg/kg/day. his most recent electrolytes on revealed a sodium of 135; potassium of 4.8; and chloride 101. other laboratories on included calcium 9.8, albumin 3.3, and alk phosphatase 397. discharge weight 2985, 50th percentile; length 48.5, 50th percentile; head circumference 32, 50th percentile. gi: the infant did demonstrate physiologic jaundice requiring phototherapy. he had a peak bilirubin on dol#1 of 5.7 with direct of 0.2. phototherapy was eventually discontinued on day of life nine. heme: the baby's blood type is 0 positive, coombs negative. the baby has not required any blood products during this admission. his last hematocrit on was 27.5. coagulation studies were checked preoperatively on and were normal. id: on admission, the baby had a blood culture and cbc sent because of gestational age and respiratory distress. white count was 16 with 65 polys, 2 bands, 2 lymphocytes, platelet count of 162,000. hematocrit was 46.2 percent. he received 48 hours of ampicillin and gentamycin, at which time the baby was clinically stable and cultures were negative, and antibiotics were discontinued. recent routine screening determined that the infant had surface colonization of methicillin resistant staphylococcus aureus. as noted below, infant did require subgaleal shunt and subsequent vp shunt placement for hydrocephalus. several spinal fluid cultures were sent from the shunts, and were all negative. : as noted above, the baby had antenatally diagnosed hydrocephalus. he has had several serial head ultrasounds, showing massively dilated lateral ventricles, question of cortical heterotropia, partial fusion of the thalamus and a small third ventricle with no intraventricular hemorrhage. head ct on at showed massive ventricles with probable lobar holoprosencephaly. mri on showed hydrocephalus with abnormal brain formation, with probably multiple heterotopias and probably fused thalami. and neurosurgery were consulted early in course. with head ultrasounds showing worsening of the hydrocephalus, infant underwent subgaleal shunt placement at on . he required periodic drainage of the subgaleal shunt in the following weeks; csf cultures from each drainage were negative. head ct on showed decompressed ventricles without hemorrhage. on , after appropriate growth, he underwent ventriculoperitoneal shunt placement at . baby returned to the postoperatively for recovery, which was uncomplicated. he was easily extubated to room air, and feedings were reintroduced without difficulty. at the time of discharge, he has a dry sterile dressing on his head incision which is healing nicely and a dry sterile dressing on his abdominal incision, which was also healing nicely. these can be be removed in days (pod #). his head circumference has been stable at 32.5-33 cm post vp shunt. he has been followed by dr. and dr. from () and dr. from neurosurgery (). genetics: genetics was also consulted on this infant - dr. and dr. at . in addition to the known neurologic abnormalities and the 2-vessel cord, they also noted a somewhat low-set left ear and 5th finger clinodactyly. chromosomes were sent and the results were 46xy within normal limits. further chromosomal sub- telomeric testing will be done as an outpatient. opthalmology: baby had initial ophthalmology examination to rule out optic abnormalities on , and showed no retinal or ocular abnormalities that were characteristic of holoprosencephaly. routine serial screening for retinopathy of prematurity was performed. the last examination was on , showing immature retina on zone three on the right side and mild retinopathy on the left side, stage one, zone three for four o'clock hours, which was improved from previous. follow-up will be in weeks. gu: given other anomalies, the infant had a renal ultrasound on which was normal. endocrine: given finding of potential cns midline defects, evaluation of pituitary function was recommended by genetics. infant had no unusual difficulties with hypoglycemia, hypotension, or electrolyte disturbances throughout hospitalization. multiple newborn screens showed normal thyroid function studies, including tsh and t4. cortisol level on was 1.1 ug/dl, which is likely low normal for this age. growth hormone level was sent on , and was pending at discharge ( lab # ). repeat testing of cortisol and thryoid function studies at 4-6 months of age is recommended. psychosocial: the parents have been visiting frequently and are appropriately concerned about and his long term prognosis. they have been visiting him and his sister, , daily and are loving parents. and have been co- bedding. condition on discharge: stable. discharge disposition: home with family. primary pediatrician: dr. . care recommendations: continue ad lib feeding as above. medications: vi-day- 1 ml p.o. q. day. fer-in- 25 mg/ml, .25 ml p.o. q. day, equal to 2 mg/kg per day. car seat position screening: passed. state newborn screen: initial screen on showed an elevated homocystinuria. repeat sample sent on was within normal limits. repeat newborn screen was sent on , which was also within normal limits. immunizations: received: hepatitis b vaccine on . dtap . hib . ipv . pneumococcal 7 valiant conjugate vaccine . synagis . synagis rsv prophylaxis should be considered from to for infants who meet any of the following three criteria: 1. ) born at less than 32 weeks. 2.) born between 32 and 35 weeks with two of the following: day care during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities or school age siblings. or, 3.) with chronic lung disease. influenza immunization is recommended annually in the fall for all infants once they reach six months 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. follow up: primary care physician: . neonatal , dr. : , 9:50 am. neurosurgery, dr. , , 10:30 am. ophthalmology, dr. , 2-3 weeks after discharge. genetics, dr. , in months (). discharge diagnoses: former 28 and week gestation male. status post respiratory distress. status post rule out sepsis, with antibiotics. congenital hydrocephalus. possible holoprosencephaly. congenital anomalies; two vessel cord and low set ears. methicillin resistant staphylococcus aureus colonization. status post subgaleal shunt placement. status post ventriculoperitoneal shunt placement. status post apnea and bradycardia of prematurity. , md dictated by: medquist36 d: 04:36:08 t: 05:22:53 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation ventricular shunt to abdominal cavity and organs other phototherapy prophylactic administration of vaccine against other diseases circumcision ventricular shunt to extracranial site nec administration of diphtheria-tetanus-pertussis, combined prophylactic vaccination against influenza administration of poliomyelitis vaccine 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 respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery 27-28 completed weeks of gestation primary apnea of newborn anemia of prematurity retrolental fibroplasia neonatal hypoglycemia routine or ritual circumcision undescended testis other specified vaccinations against hemophilus influenza, type b [hib] other specified anomalies of ear other specified congenital anomalies of brain congenital hydrocephalus other anomalies of upper limb, including shoulder girdle need for prophylactic vaccination and inoculation against diphtheria-tetanus-pertussis, combined [dtp] [dtap] congenital reduction deformities of brain extreme immaturity, 1,250-1,499 grams absence or hypoplasia of umbilical artery need for prophylactic vaccination and inoculation against poliomyelitis 

Answer: The patient is high likely exposed to