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 , twin i, is a gram male infant, product of a di/di twin pregnancy, born at 32 and 6/7 weeks gestation to a 39 year old, para 0 to ii mother. prenatal screens showed maternal blood type a positive, antibody negative; hepatitis b surface antigen negative. rpr was nonreactive. rubella immune. gonorrhea negative. chlamydia negative. the pregnancy was uncomplicated with normal ultrasounds at 16 and 18 weeks of gestation. the mother initially presented at 29 weeks gestational age in preterm labor. she was treated with magnesium sulfate and betamethasone. she was able to be discharged home. she represented on the day prior to delivery with rupture of membranes and preterm labor. delivery by cesarean section for breech presentation of twin ii. twin i emerged vigorous with apgar scores of eight at one minute and nine at five minutes. there was mild respiratory distress and he was transferred to the neonatal intensive care unit where c-pap was initiated with improvement in his respiratory distress. physical examination: on admission, weight was grams (50th to 75th percentile); head circumference 31 cm (50th percentile); length 46 cm (75th percentile). he was a non dysmorphic vigorously crying baby who had scattered lower lumbar mongolian spots. anterior fontanel was open, soft and flat. red reflex was present on the left but unable to be visualized on the right because of lack of cooperation of the infant. ears were normal set and formed. palate intact. clavicles intact. good air entry. clear to auscultation bilaterally with minor retractions, no grunting. heart with regular rate and rhythm, no murmur. abdomen: soft, benign, with no organomegaly. mild hypospadias was noted but otherwise normal genitalia with testes descended bilaterally. the anus was patent. the spine was straight with no dimple. extremities were warm, well perfused; normal femoral pulses; normal neurologic examination for gestational age. hospital course: 1. respiratory: the patient was initially tried on c-pap of 6 but continued to have respiratory distress. a chest x-ray was done, which was consistent with mild surfactant deficiency. he was intubated and given surfactant times one dose. he was extubated when he was one day old to c-pap and weaned easily to room air on the second day of life. he subsequently remained in room air with normal oxygen saturation. he had mild apnea of prematurity with 0 to 1 apneic and bradycardiac episodes a day. he was not started on caffeine. his last bradycardiac event was on day of life nine. he did have some desaturation events associated with choking on feeds. the last of these occurred several days prior to discharge. 2. cardiovascular: the patient has remained hemodynamically stable and has not required any cardiovascular support. he has been noted to have an intermittent soft murmur, which is consistent with pps by clinical examination. 3. fluids, electrolytes and nutrition: the patient was initially n.p.o. and received intravenous fluids with electrolytes. we was advanced easily on enteral feeds and was eventually increased to formula, concentrated to 24 calories per ounce. had some initial discoordination with his feeding and occasionally choking and desaturating with his feeds per kg per day. his suck/swallow coordination improved with time and he has not had any desaturations with the feeds in the several days before discharge. given his good p.o. intake and his good weight gain, his calories were decreased on to 20 calories per ounce. he is currently taking between 160 and 200 cc per kg per day of enfamil 20 with good weight gain. weight on discharge was 2490 grams. 4. gastrointestinal: phototherapy was initiated on day of life three for a bilirubin of 9.7. phototherapy was discontinued on day of life 6 for a bilirubin of 6.4 a rebound bilirubin on day of life 8 was 5.4. 5. hematology: maternal blood type was a positive; antibody negative. baby's blood type is not known. the patient has not required any transfusions. 6. infectious disease: on admission, a 48 hour sepsis evaluation was initiated. his initial cbc showed a white blood cell count of 9.3 with 22% polys, 60% lymphocytes and 0% bands. a hematocrit was 44 and platelets were 341. ampicillin and gentamycin were initiated. blood culture was no growth at 48 hours and antibiotics were discontinued. he has no further infectious disease issues. 7. neurology: given his gestational age and benign clinical course, new head ultrasound has been performed. 8. sensory: hearing screen was passed on . the patient received his first hepatitis b vaccine on . the patient passed a car seat test on . ophthalmology examination is not indicated given his gestational age. 9. urology: the patient was noted on initial physical examination to have a mild hypospadias with a chordae. urology was consulted and recommended outpatient follow-up. follow-up will be with dr. at and the urology clinic will be contacting the parents to arrange an appointment. given the hypospadias, the patient was not circumcised. condition on discharge: stable. primary pediatrician: pediatrics from . medications on discharge: none. immunizations: received hepatitis b vaccine on . discharge diagnoses: 1. prematurity at 32 and 6/7 weeks gestational age. 2. status post mild surfactant deficiency. 3. status post hyperbilirubinemia. 4. mild hypospadias. , 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 prophylactic administration of vaccine against other diseases diagnoses: twin birth, mate liveborn, born in hospital, delivered by cesarean section neonatal jaundice associated with preterm delivery neonatal bradycardia other respiratory problems after birth other preterm infants, 1,750-1,999 grams 31-32 completed weeks of gestation hypospadias 

Answer: The patient is high likely exposed to