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 the first born of twins, born at 31 and 1/7 weeks gestation to a 34 year-old, gravida ii, para 0 woman. prenatal screens: blood type 0 positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group b beta strep status unknown. this was an in- fertilization pregnancy, resulting in dichorionic, diamniotic twins. the mother had gestational diabetes during this pregnancy. rupture of membranes occurred 5 days prior to delivery. the mother was taken to cesarean section for preterm labor and known breech presentation of the twins. this twin #1 emerged with spontaneous respirations and cry, required only bulb suction and oxygen. apgars were 9 at 1 minute and 9 at 5 minutes. he was admitted to the nicu at for treatment of prematurity. physical examination: upon admission to the neonatal intensive care unit, weight was 1.53 kg, 50th percentile. length 41 cm, head circumference 28.5 cm. general: non dysmorphic, preterm male, in no acute distress. oxygen saturations 100% on room air. head, ears, eyes, nose and throat: anterior fontanel open and flat. palate intact. chest: breath sounds clear and equal. no increased work of breathing. cardiovascular: no murmurs appreciated. regular rate and rhythm. abdomen soft, nondistended. bowel sounds present. extremities: warm, well perfused, equal femoral pulses. genitourinary: normal male genitalia. testes descended bilaterally. neuro: moving all extremities. symmetric tone and reflexes. hospital course by systems including pertinent laboratory data: 1. respiratory: has been in room air since admission to the neonatal intensive care unit. he had episodes of apnea and bradycardia and was was started on caffeine citrate. this was d'c d on with no difference in the number of ongoing episodes of aop. he was free of any apnea or bradycardia for 5 days prior to discharge. 2. cardiovascular: has maintained normal heart rates and blood pressures. on he was first noted to have a systolic murmur, thought to be coincidental with a low hematocrit. echo on showed a small pfo and trivial mitral regurgitation. 3. fluids, electrolytes and nutrition: was initially n.p.o. and started on iv fluids. central feeds were started on day of life #1 and gradually advanced. he is taking breast milk. he received parenteral nutrition in the first 5 days of life. he was on full enteral feeds thereafter. he did have feeding problems with an inability to coordinate suck/swallow and breathing. at the time of discharge he was feeding well, upwards of 160 cc/kg/day including some breastfeeding. his weight 1 day prior to discharge was 2900. 4. infectious disease: due to the unknown etiology of the preterm labor and unknown group beta strep status of the mother, was evaluated for sepsis upon admission to the neonatal intensive care unit. a complete blood count had a white blood cell count of 6,300 with a differential of 18% polymorphonuclear cells, 0% band neutrophils. iv ampicillin and gentamycin were started after obtaining a blood culture. the blood culture was no growth at 48 hours and the antibiotics were discontinued. 5. gastrointestinal: required treatment for unconjugated hyperbilirubinemia with phototherapy. peak serum bilirubin occurred on day of life #2, total of 6.6 mg/dl. he received 5 days of phototherapy with a rebound . level of over the next days that rose 7.3/0.2 and repeated at 7.0 3 days later. he appeared jaundiced which was thought to be due to breastmilk, however on because of marked increase in skin icterus, a bilirubin was drawn and was 15/0.6 . phototherapy was restarted with the bilirubin quickly coming down to to 8.8 on . phototherapy was d'c d and 48 hour rebound was 9.5/0.5. his last bili on was 5.5. 6. hematology: hematocrit at birth was 55%.with the bilirubin sample drawn on , a hct of 25 was obtained which over the next few days decreased to 22.3 retic count obtained went from 8.8>18>33 , smear done and a hematology consult was called. on studies were drawn for g6pd, osmotic fragility, pyruvic kinase and body prep. following blood drawn for studies, received 2, 10cc/kg packed rbc transfusions. post transfusion hematocrit on was 39.9. his hct/retic on was 32.5/2.2. the diagnosis based on lab results, hematology thought the most likely diagnosis by exclusion was infantile pyknocytosis and should improve with time as fetal hemeoglobin dissappears. 7. neurology: head ultrasound performed on and were normal. 8. sensory: hearing screening prior to discharge was normal. 9. optho: had an eye exam on which was immature zone 3, ou.his f/u exam on was mature z3 ou. 10. immunizations: hepatitis b given . 11, genitourinary: small bilateral hydroceles. discharge medications: ferrous sulfate 0.5 cc po q day multivitamins 1cc po q day discharge diagnosis: premature twin #1 31 1/7 weeks gestation immature feeding. apnea/breadycardia of prematurity. hemolytic anemia due to infantile pyknocytosis hyperbilirubinemia hydroceles primary pediatrician:f/u with dr. , , on . vna to visit home . hematology at chmc on with dr. . , medquist36 d: 02:28:36 t: 05:29:58 job#: procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells 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 neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia other respiratory problems after birth other preterm infants, 1,500-1,749 grams 31-32 completed weeks of gestation ostium secundum type atrial septal defect congenital hydrocele hemolytic disease of fetus or newborn due to other and unspecified isoimmunization 

Answer: The patient is high likely exposed to