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: this patient's post discharge name is . baby girl , twin #2, delivered at 26 and 5/7 weeks gestation and was admitted to the nicu for management of extreme prematurity. mother is a 34 year-old, g1 mother with estimated date of delivery of . prenatal labs included blood type 0 positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune and group beta strep status unknown. this pregnancy was complicated by ivf dichorionic, diamniotic twin gestation, shortened cervix, preterm labor, preterm premature rupture of membranes for 60 hours. the mother was transferred from on after her membranes ruptured. she received a complete course of betamethasone and was treated with ampicillin, erythromycin, and magnesium sulfate. her magnesium sulfate was discontinued on in the evening and then restarted a few hours later for increasing preterm labor. this was unsuccessful, resulting in delivery by cesarean section for breech presentation of this twin. this infant emerged with an initial gasp and was given bulb suctioning, drying, stimulation and required positive pressure ventilation for poor respiratory effort. she was intubated in the delivery room and had a good heart rate throughout. her apgars were 4, 6 and 8 at 1, 5 and 10 minutes respectively. her birth weight was 890 grams (50th percentile). head circumference 24.5 cm, 25 to 50th percentile. length 35 cm (25 to 50th percentile). physical examination: at discharge, weight was 3715 grams; length 50 cm, head circumference 37 cm. general appearance: pink, active, non dysmorphic infant. skin intact. hemangioma on left leg. head: anterior fontanel open, soft, flat. eyes: red reflex present bilaterally. thorax symmetric. lungs clear to auscultation. heart: normal s1 and s2, no murmur. femoral pulses 2+. abdomen soft, nondistended. no hepatosplenomegaly. small umbilical hernia. genitalia: normal female. patent anus. spine straight. clavicles intact. hips: stable. moves all extremities equally. positive grasp, suck and moro. hospital course by systems: respiratory: received 2 doses of surfactant for respiratory distress syndrome. she was initially on conventional ventilation. she weaned to cpap on day of life 1 after starting caffeine citrate. she transitioned to nasal cannula oxygen on and then to room air on . she remained on room air until when she required nasal cannula oxygen again for oxygen desaturation drifts. she developed increased apnea on and was placed back on cpap for approximately 24 hours. at that time, her hematocrit was noted to be 23.5%. she was given a packed red blood cell transfusion and subsequently a return to room air. she has remained in room air since with comfortable work of breathing. the caffeine citrate was discontinued on . she continues to have 1 to 2 apnea and bradycardia episodes per day. cardiovascular: was treated with indomethacin with one course of indomethacin for a pda by echocardiogram with a follow-up echocardiogram showing that the pda was closed and a pfo was present. she had an episode of tachycardia for approximately 10 minutes in the 2:30 range. an ekg was done and cardiology was consulted. the ekg showed sinus tachycardia. the caffeine citrate was held for 3 days and the tachycardia resolved. there have been no further cardiac issues. she does have an intermittent soft murmur which was thought to be a flow murmur. fluids, electrolytes and nutrition: a uac and uvc were placed on admission to the nicu. the infant was initially n.p.o. and received parenteral nutrition. the uac was discontinued on which is day of life 2. a central picc was placed on and the uvc was discontinued at that time. enteral feedings were initiated on with a slow advance. she achieved full enteral feeds on which is day of life 11. calories were subsequently increased to a maximum of 30 calories per ounce plus beneprotein. due to adequate weight gain, her calories were decreased and currently, she is on 20 calories per ounce of enfamil 20 or expressed breast milk. she is feeding ad lib, taking good volumes and gaining weight nicely. her discharge weight is 3715 grams. length 50 cm, head circumference 37 cm. gastrointestinal: the infant developed hyperbilirubinemia, treated with phototherapy for approximately 8 days. her peak bili was 5 with direct of 0.3. was started on reglan for clinical signs and symptoms of gastroesophageal reflux on . prilosec was added on . hematology: her blood type is a positive, direct coombs is negative. her hematocrit at birth is 48.9%. she has received a total of 2 red blood cell transfusions during her hospital stay, with her most recent being on . she is on iron supplementation with ferrous sulfate at 0.6 ml per day which is around 4 mg/kg per day. there has been no hematocrit check since her blood transfusion. infectious disease: a cbc and blood culture were drawn on admission. the cbc was normal. the blood culture was negative. she received 48 hours of ampicillin and gentamycin. on , which is day of life 14, she had a cbc and blood culture done for increased apnea and bradycardia episodes. she did not receive antibiotics at that time. due to increase in apnea and bradycardia spells on , she had a cbc, blood culture and urine culture which were all negative. she received 48 hours of ampicillin and gentamycin with sepsis ruled out. she has had no further episodes prompting a sepsis evaluation. neurology: she has had 4 normal head ultrasounds done on , , and . sensory: audiology: hearing screening was performed with automated auditory brain stem responses. she passed both ears. ophthalmology: eyes were examined most recently on revealing mature retinal vessels. a follow-up examination is recommended in 9 months. psychosocial: social work has been involved with the family. the contact social worker can be reached at if there are any concerns. condition on discharge: 40 and 2/7 weeks post menstrual age infant with unresolved apnea of prematurity. discharge disposition: transfer to . name of primary pediatrician: , md, telephone number . care and recommendations: 1. feeds: ad lib feeding with expressed breast milk or enfamil 20 with iron or breast feeding when the mother is present. 2. medications: omeprazole 3.7 mg daily. metoclopramide 0.37 mg every 8 hours. ferrous sulfate 0.6 ml per day. goldline baby vitamins, 1 ml daily. 3. iron and vitamin d supplementation: iron supplementation is recommended for preterm and low birth weight infants until 12 months corrected age. all infants fed predominantly breast milk should receive vitamin d supplementation at 200 i.u. (may be provided as a multi-vitamin preparation) daily until 12 months corrected age. 4. car seat position screening test done and she passed. 5. state newborn screens were sent on and . results initially were abnormal due to parenteral nutrition but they have normalized to date with the most recent two within normal limits. the most recent were on and and these were normal. 6. immunizations received: received hepatitis b immunization on , pediarix on , haemophilus influenza vaccine on and pneumococcal 7-falent conjugate vaccine on . 7. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following four criteria: (1) born at less than 32 weeks; (2) born between 32 weeks 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; (3) chronic lung disease or (4) hemodynamically significant congenital heart disease. influenza immunization is recommended annually in the fall for all infants once they reach 6 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. this infant has not received rota virus vaccine. the american academy of pediatrics recommends initial vaccination of preterm infants at or following discharge from the hospital if they are clinically stable or at least 6 weeks but fewer than 12 weeks of age. 8. follow-up appointments recommended: follow-up appointment with pediatrician status post discharge. vna referral recommended. early intervention program referral recommended. referral to neonatal infant program at has been made. telephone number . fax . discharge diagnoses: 1. prematurity at 26 and 5/7 weeks gestation. 2. appropriate for gestational age. 3. twin #2. 4. breech presentation. 5. respiratory distress syndrome, resolved. 6. sepsis ruled out times 3. 7. patent ductus arteriosus treated and resolved. 8. hemangioma, left leg. 9. sinus tachycardia, resolved. 10.apnea of prematurity. 11.anemia. 12.hyperbilirubinemia, resolved. 13.clinical gastroesophageal reflux. , md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube non-invasive mechanical ventilation injection or infusion of other therapeutic or prophylactic substance other phototherapy prophylactic administration of vaccine against other diseases other oxygen enrichment diagnoses: esophageal reflux 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 extreme immaturity, 750-999 grams respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery primary apnea of newborn patent ductus arteriosus anemia of prematurity hemangioma of skin and subcutaneous tissue 25-26 completed weeks of gestation 

Answer: The patient is high likely exposed to