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: , twin #1, is a 1080 gram product of a 29-5/7 week twin gestation born to a 34-year-old, gravida 5, para 1, now 3 mom, after pregnancy that was notable for admission to on with cervical shortening. she was subsequently transferred to where she was treated with bedrest and betamethasone. ultrasound showed growth restriction of twin b prompting delivery via cesarean section on . family and social history unremarkable by review of labor and delivery records. there were no sepsis risk factors noted. maternal prenatal screens showed blood type a+, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, group beta strep status unknown. at the delivery, the infant emerged vigorous. he was treated with brief facial cpap. apgar scores were 7 at one minute and 8 at five minutes of age. he was brought to the newborn intensive care unit after a brief visit with the parents. birthweight 1080 grams (10th-25th percentile), length 34.5 cm (10th percentile), head circumference 26.5 cm (10th-25th percentile). he was admitted to the newborn intensive care unit for monitoring and prematurity at 29-5/7 weeks. discharge physical examination: well-appearing, active infant. anterior fontanel open and flat. sutures separated. positive red reflex both eyes. lips, gums and palates intact. neck supple with full range of motion. chest symmetrical. breath sounds clear and equal bilaterally. normal s1, s2, no murmur auscultated. normal radial and femoral pulses. abdomen soft, active bowel sounds, no hepatosplenomegaly. normal male genitalia. testes descended bilaterally. spine straight. no dimples, hair . hips stable. clavicles intact. infant moving all extremities symmetrically with good tone, patent anus. summary of hospital course by systems: 1. respiratory: upon admission to the newborn intensive care unit, was placed on 6 of nasal prong cpap. after being on cpap for several hours, his fio2 requirement climbed and he had increased work of breathing, prompting intubation and treatment with two doses of surfactant. he was extubated on day of life 2 to nasal prong cpap and then finally weaned to room air from cpap by day of life 4. caffeine citrate was initiated on the first day of life for noted apnea of prematurity. he continues on caffeine citrate at about 7 mg/kg/dose. he continues to have occasional spells. 1. cardiovascular: received one normal saline bolus shortly after his admission to the newborn intensive care unit for pallor. after that, his blood pressure has been noted to be normal. a murmur was noted on day of life 2. an echocardiogram was performed on day of life 5 showing a large pda with continuous left-to-right flow. he was started on a course of indomethacin at that time and he received three doses of indomethacin. a follow-up echo on showed no patent ductus arteriosus, no arch obstruction and good ventricular function. right ventricular pressure was less than half of systemic pressure. he has had an intermittent murmur after that echo. heart rates have been stable in the 130s-160s range and last blood pressure on the 24 was 57/45 with a mean of 49. 1. fluids, electrolytes and nutrition: upon admission to the newborn intensive care unit, was started on iv fluids of d10w at 100 cc/kg/d. he remained n.p.o. until day of life 8, after treatment with indomethacin. he was started on feeds on day of life 8 at 20 cc/kg/d of breast milk. he successfully advanced up to full volume feedings by day of life 17. he is currently receiving 150 cc/kg/d of premature enfamil enriched to 30 cal/oz. he receives these feeds per gavage over 80 minutes. his last set of electrolytes on showed a sodium of 141, potassium of 5.2, chloride of 109 and a bicarbonate of 23. his weight at time of transfer is 1375 grams. 1. gi: was started under phototherapy on day of life 1 for a bilirubin of 5.5/0.3. he has been off and on phototherapy since admission. phototherapy was finally discontinued on for a bilirubin of 4.2/03 on the 23, and his rebound bilirubin on was 5.9. 1. hematology: 's blood type is not known at this time. did receive one blood transfusion on day of life 9 for a hematocrit of 31.9. he received 20 cc/kg of paced red blood cells. he has not had a hematocrit since the transfusion on . 1. infectious disease: upon admission to the newborn intensive care unit a cbc and blood cultures were drawn. the cbc had a white count of 7.7, hematocrit of 40.6 and a platelet count of 230 with 18% polys and 0% bands. the blood culture that was drawn at that time was negative. was placed on ampicillin and gentamicin shortly after admission to the newborn intensive care unit. did remain on ampicillin and gentamicin for 7 days due to an unexplained hyperglycemia extending from day of life 1 into day of life 2 with high blood sugar of 246. he also received 3 days of oxacillin starting on day of life 4 for phlebitis from iv site. an lp was performed on day of life 6 showing four white blood cells, 95 red blood cells, a protein of 158 and a glucose of 47. the ampicillin and gentamicin were discontinued after 7 days. another cbc and blood culture were drawn on day of life 9 due to increasing apnea of prematurity. that cbc showed a white count of 7.3, hematocrit of 31.9, with platelets of 506, with 12% polys and 0% bands, with an anc of 879. at that time, he was started on vancomycin and gentamicin. the blood culture that was drawn at that time was negative and the vancomycin and gentamicin were discontinued after 48 hours. he has no concerns for infection at this time. 1. neurology: had a head ultrasound on which was normal. sensory: an audiology screen has not been performed at this time. ophthalmology: this infant has not been examined. he will be due for his first exam at approximately 5 weeks of age. 1. psychosocial: social work has been involved with the family. the contact social worker can be reached at . condition on transfer: infant stable, in servo isolette, comfortable in room and tolerating full-volume feedings. discharge disposition: transfer to via ambulance. name of primary pediatrician is in , , phone number (. care recommendations: 1. feeds at time of transfer: gavage feeds of premature enfamil enriched to 30 cal/oz given by gavage over 80 minutes. 2. medications: iron supplementation and vitamin e at 5 units daily. iron supplementation is recommended for preterm and low birthweight infants under 12 months corrected age. all infants fed predominantly breast milk should receive vitamin d supplementation at 200 international units and may be provided as a multivitamin preparation daily until 12 months corrected age. is also on caffeine citrate at approximately 7 mg/kg/dose. 3. car seat position screening: not done. 4. state newborn screening status: 's last state newborn screen was sent on and no abnormal results have been reported. 5. immunizations received: none. 6. immunizations recommended: a. synagis rsv prophylaxis should be considered from through for infants who meet any of the following 4 criteria: 1) born at less than 32 weeks; 2) born between 32 and 35 weeks with 2 of the following: daycare during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities or school-aged siblings; 3) chronic lungs disease; or 4) hemodynamically significant congenital heart disease. b. 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. c. this infant has not received rotavirus vaccine. the american academy of pediatrics recommends initial vaccination of preterm infants at or following discharge from the hospital if they are clinically stable and at least 6 weeks but fewer than 12 weeks of age. discharge diagnoses: 1. respiratory distress syndrome. 2. presumed sepsis. 3. prematurity at 29-5/7 weeks. 4. patent ductus arteriosus treated with indomethacin. 5. apnea of prematurity. 6. hyperbilirubinemia. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified 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 other phototherapy transfusion of packed cells diagnoses: twin birth, mate liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery primary apnea of newborn neonatal bradycardia patent ductus arteriosus anemia of prematurity other specified conditions originating in the perinatal period septicemia [sepsis] of newborn other disturbances of temperature regulation of newborn 29-30 completed weeks of gestation other vascular complications of medical care, not elsewhere classified other preterm infants, 1,000-1,249 grams other abnormal glucose 

Answer: The patient is high likely exposed to