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 a former 1.37 kilogram product of a 28 week twin gestation pregnancy born to a 37 year old g-5, p-1 now 3 woman. prenatal screens - blood type o negative, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status unknown. the pregnancy was complicated by twin- to-twin transfusion syndrome. there were multiple amniocenteses performed and a laser ablation procedure performed at 24 weeks gestation at women and hospital in . twin a was the recipient twin and was noted on prenatal ultrasounds to have a cardiac dysfunction. this twin b was the donor twin. the mother underwent elective cesarean section at 28 weeks gestation. twin b emerged vigorous and crying. apgars were 7 at one minute and 8 at five minutes. he required oxygen, drying and suctioning only in the delivery room. he was admitted to the neonatal intensive care unit for treatment of prematurity. physical examination on admission to the neonatal intensive care unit: weight 1.37 kilograms - 75th percentile, length 37 cm - 50th percentile, head circumference 28.5 cm - 75th percentile. general - nondysmorphic male in respiratory distress. heent - anterior fontanelle open and flat, normal facies, palate intact. chest - coarse breath sounds with fair aeration. cardiovascular - regular rate and rhythm without murmur. normal femoral pulses. abdomen - soft, non-tender, non- distended, no masses. patent anus. gu- normal premature male, testes undescended. spine - straight, normal sacrum. extremities - moving all, hips stable. neurologic - tone and reflexes appropriate for gestational age. hospital course: 1. respiratory. was intubated shortly after admission to the neonatal intensive care unit and treated with surfactant for his respiratory distress. he was continued on assisted ventilation through day of life number seven when he was extubated to continuous positive airway pressure. on day of life number nine he transitioned to nasal cannula o2. at the time of discharge he is on nasal cannula o2 13 ml per minute. his respirations are easy. breath sounds are clear. baseline respiratory rate is 30- 50 breaths per minute. was also treated for apnea of prematurity with caffeine. he has up to three episodes of spontaneous apnea noted per day. 2. cardiovascular. on day of life number two a cardiac echocardiogram was obtained and showed a large pda and patent foramen ovale. he was treated with a course of indomethacin. repeat echocardiogram on showed a very small patent ductus arteriosus. at the time of discharge, his heart rate is 140-160 beats per minute with a recent blood pressure of 73/46 with a mean of 54. no murmurs have been noted. 3. fluids, electrolytes and nutrition. was initially npo and maintained on intravenous fluids. he had a percutaneously inserted central catheter placed on day of life number five. enteral feeds were started on day of life number six and gradually advanced to full volume. the percutaneously inserted central catheter was removed on . at the time of discharge he was taking 150 ml/kg/day of breast milk fortified to 22 calories per ounce with human milk fortifier. the most recent set of serum electrolytes were on with a serum sodium of 137, a potassium of 5.4, chloride of 103 and a total carbon dioxide of 23. weight on the day of discharge was 1.26 kilograms. 4. infectious disease. due to his prematurity and respiratory distress, was evaluated for sepsis at the time of admission to the neonatal intensive care unit. a white blood cell count was within normal limits. a blood culture was obtained prior to starting intravenous ampicillin and gentamicin. the blood culture was no growth at 48 hours and the antibiotics were discontinued. 5. hematological. is blood type o negative, coombs negative. hematocrit at birth was 44.7 percent. he did not received any transfusions or blood products during admission. 6. gastrointestinal. required treatment for unconjugated hyperbilirubinemia with phototherapy. peak serum bilirubin occurred on day of life two with a total of 9.1, 0.6 mg/dl direct. he received phototherapy for approximately six days. repeat bilirubin on day of life number seven was a total of 3.2, 0.4 mg/dl direct. 7. neurological. maintained a normal neurological exam during admission and there were no neurological concerns at the time of discharge. a head ultrasound was performed on and was within normal limits. 8. sensory. hearing screening has not yet been performed. 9. ophthalmology. will require screening eye exam for retinopathy of prematurity. the first exam is recommended at four to five weeks of life. 10.psychosocial. the parents have been very involved with both of their sons' clinical courses. brother, , was gravely ill with refractory hypotension and renal failure. he expired on . condition on discharge: good. disposition: transfer to for continuing level ii care. the primary pediatrician is , m.d., medical associates, , , , phone number . care and recommendations: 1. feeding. breast milk 22 calories per ounce at 150 cc/kg/day. 2. medication. caffeine citrate 10 mg pg once daily. 3. car seat position screening is recommended prior to discharge. 4. state newborn screen was sent on with all results within normal limits. a repeat screen was sent on . 5. no immunizations administered thus far. 6. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following three criteria: born at less than 32 weeks; born between 32-35 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 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 care-givers. discharge diagnoses: 1. prematurity at 28 weeks' gestation. 2. twin b of twin gestation. 3. twin-to-twin transfusion syndrome, donor twin. 4. respiratory distress syndrome. 5. apnea of prematurity. 6. suspicion for sepsis ruled out. 7. patent ductus arteriosus. 8. unconjugated hyperbilirubinemia. , dictated by: medquist36 d: 05:50:27 t: 06:56:56 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation other phototherapy diagnoses: 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 patent ductus arteriosus other preterm infants, 1,250-1,499 grams ostium secundum type atrial septal defect fetal blood loss 

Answer: The patient is high likely exposed to