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 second of twins former 1.155 kilogram product of a 27 and week gestation to a 33-year-old gravida 3, para 0, woman. estimated date of delivery was . the pregnancy was complicated by a hyperdynamic cervix and cervical incompetence. she presented with preterm labor and bleeding. she had previously had a cerclage placed for cervical incompetence which was removed and had progression of labor. there was no prolonged fever or rupture of membranes. she was betamethasone complete prior to delivery. the delivery was by cesarean section because of breech positioning of twin i. prenatal screens revealed blood type o negative, hepatitis b surface antigen negative, rubella immune, rapid plasma reagin was nonreactive, and antibody status indeterminate. the baby was with spontaneous respirations. the infant required oxygen and suctioning. apgar scores were 7 at one minute of age and 8 at five minutes of age. the infant was admitted to the neonatal intensive care unit for treatment of prematurity. physical examination on presentation: physical examination upon admission to the neonatal intensive care unit revealed a weight of 1.155 kilograms, length was 37 cm, and head circumference was 26.25 cm. in general, nondysmorphic preterm male in respiratory distress. head, eyes, ears, nose, and throat examination revealed normocephalic. bruising was noted on head and face. positive red reflex bilaterally. the palate was intact. lung examination revealed coarse breath sounds bilaterally, equal, grunting, and intercostal retractions. cardiovascular examination revealed a regular rate and rhythm. no murmurs. femoral pulses were 2+. the abdomen was soft. there were active bowel sounds. no masses or distention. genitourinary revealed premature male testes not palpable. normal male genitalia for age. musculoskeletal examination revealed head was stable. the spine was midline. the anus was patent. neurological examination revealed tone and reflexes were consistent with gestational age. concise summary of hospital course by issue/system: (including pertinent laboratory data) 1. respiratory issues: the infant was intubated shortly after delivery and received two doses of surfactant. maximum ventilatory settings were a peak inspiratory pressure of 20, positive end-expiratory pressure of 5, intermittent mandatory ventilatory rate of 25, oxygen requirement to 35%. the infant was extubated to continuous positive airway pressure on day of life four. on day of life 12, due to increasing apnea and bradycardia, he was reintubated. he was again extubated to nasal pharyngeal continuous positive airway pressure on day of life 14. again, on day of life 22, the infant was intubated for increasing apnea and ventilated for two days. the infant was extubated again to continuous positive airway pressure on day of life 24. he had been on nasal cannula oxygen since ; he went to room air on . his respiratory rates are in the 40s to 60s. on he was placed on diuril and kcl supplements. he required treatment for apnea with caffeine citrate and this was d'c d on and he has had no further apneic episodes. 2. cardiovascular issues: a murmur was noted on day of life two. the infant received a course of indomethacin with resolution of the murmur. again, a murmur became audible on day of life eight. the infant had an echocardiogram. the patent ductus arteriosus was persistent despite treatment with indomethacin, and a patent ductus arteriosus ligation was performed on . this was concurrent with his second reintubation. since that time, he has had a intermittant soft murmur which i am currently unable to appreciate. heart rates are in the 150s to 170s with mean arterial blood pressures in the 40s. 3. fluids/electrolytes/nutrition issues: the infant was initially nothing by mouth and treated with intravenous fluids. enteral feeds were started on day of life 13 and gradually advanced to full volume. at the time of discharge, he is on enfamil 24 calories per ounce and takes a minimum of 150 cc/kg/day. discharge weight is 3.43 kilograms. serum electrolytes were checked on numerous occasions in the first two weeks of life. the infant had some transient hyponatremia that corrected. most recent serum sodium was on and was na 141/k 3.1/cl 101/co2 33. 4. infectious disease issues: due to his prematurity, and unknown group b strep status, and respiratory distress the infant was evaluated for sepsis at the time of admission. his white blood cell count was 9500 with a differential of 42% polys and 2% bands. a blood culture was obtained prior to starting ampicillin and gentamicin. this blood culture was no growth at 48 hours, and antibiotics were discontinued. on with increased episodes of apnea and his need for reintubation, the infant was evaluated for sepsis. the mother had a history of cold sores, so he was treated with vancomycin and gentamicin for 48 hours and acyclovir for five days. cerebrospinal fluid culture results were negative as was a herpes simplex virus pcr. the cell count, differential, protein, and glucose were also normal. the infant also required treatment for conjunctivitis initially with erythromycin. the culture grew staphylococcus aureus that was resistant to erythromycin, and he was changed to gentamicin eyedrops. on he was treated for a cellulitis of the nasal bridge with a 7-day course of vancomycin and gentamicin. on he was started on a 7 day oral course of keflex for thick nasal secretions that grew out staph aureus and enterobacter. he had marked improvement in secretions. 5. gastrointestinal issues: the infant required treatment for unconjugated hyperbilirubinemia with phototherapy. his peak serum bilirubin acquired on day of life two was a total bilirubin of 8/0.5 mg/dl direct bilirubin. he required treatment on and off with phototherapy for approximately one week. his last rebound bilirubin on was 3.1 total bilirubin and direct bilirubin 0.4. 6. hematologic issues: hematocrit at birth was 44.8%. the infant has required several packed rbc transfusions . his blood type is a positive, coombs negative. the infant is on supplemental iron . his most recent hematocrit on was 28.9. 7. neurologic issues: head ultrasound was performed on day of life six and showed a left germinal matrix hemorrhage. a follow-up head ultrasound on showed a resolving left germinal matrix hemorrhage. a head ultrasound on was within normal limits without any evidence of a periventricular leukomalacia. 8. sensory issues: audiology screen passed on . 9. ophthalmology issues: initial eye examination was performed on and the retinas were found to be immature to zone 2 with a recommended followup in two weeks.last exam on was immature zone 3 ou. f/u will be done at /dr. at the end of month. 10. immunizations:hep b and prevnar on , dtap,ipv and hib on 11. gu: circumcision on . condition at discharge: condition on discharge was stable. discharge disposition: home primary pediatrician: primary pediatrician is dr. with medical associates in , . care and recommendations at discharge: 1. feeding: enfamil 24 calories per ounce. 2. medications: , ferinsol 0.3 cc of a 25 mg/ml solution by mouth pg once per day, kcl 3.0 cc's q 8 hours of a 1.3meq/ml solution and diuril 0.7 cc's q 12 hours of a 50 mg/cc solution. 3. state newborn screen was sent on with the results totally within normal limits. discharge diagnoses: 1. prematurity at 27 and 3/7 weeks gestation. 2. twin ii of twin gestation. 3. respiratory distress syndrome/chronic lung disease. 4. patent ductus arteriosus; status post ligation. 5. suspicion for sepsis ruled out times four. 6. unconjugated hyperbilirubinemia. 7. anemia of prematurity. 8. apnea of prematurity. 9. immature retinas. 10. left germinal matrix hemorrhage; resolved. f/u at /mfd, dr. within 5 days of discharge, vna to come to home day post discharge, ei referral done. f/u at / opthomology dr. at end of month. would recommend cutting diuril and kcl in half on and then in 2 weeks d'c both medications if continues to do well. 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 parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation transfusion of packed cells umbilical vein catheterization other surgical occlusion of vessels, thoracic vessels circumcision diagnoses: twin birth, mate liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery chronic respiratory disease arising in the perinatal period 27-28 completed weeks of gestation patent ductus arteriosus intraventricular hemorrhage, grade i septicemia [sepsis] of newborn other preterm infants, 1,000-1,249 grams 

Answer: The patient is high likely exposed to