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 is twin #2 who was born at 34 and 5/7 weeks gestation to a 36 year-old g2 p1 mother. prenatal screens were blood type a positive, antibody negative, gbs unknown, hepatitis surface antigen negative, rpr nonreactive. pregnancy was remarkable for spontaneous twinning. mother was initially admitted at 23 weeks with preterm labor. she was treated at that time with betamethasone and magnesium sulfate. she was discharged five days prior to delivery. she was readmitted the night prior to delivery with recurrence of preterm labor. the c section was performed for fetal malposition. apgars were 8 and 9. admission exam: the examination was remarkable for a well appearing preterm infant with vital signs as noted, in the chart. soft anterior fontanel, normal faces, no cleft palette, pink color, mild intermittent grunting, clear breath sounds, no murmur, flat and soft, nontender abdomen without hepatosplenomegaly, normal phallus, testes and scrotum. stable hips, present femoral pulses, normal perfusion, normal tone and activity. hospital course: 1. respiratory: he had some intial grunting, flaring and retracting consistent with transient tachypnea of the newborn (ttn) which rapidly resolved without intervention. he remained in room air throughout his hospitalization. he did have some brief apnea and bradycardia of prematurity. they resolved by day of life ten. he has now been a week with no spells. he was never treated with methylxanthines. 2. cardiovascular: the patient has been cardiovascularly stable throughtout his admission. he has had an intermittent murmur. this murmur is soft and radiates across axilla and back consistent with peripheral pulmonic stenosis (pps). recommend routine pediatric follow-up at this time. 3. fen: the patient was initially maintained on intravenous fluids. when his respiratory distress resolved, he was advanced on enteral feeds. he initially had some mild spitting and on day of life three a kub was obtained. the kub was within normal limits. currently he is on po ad lib feedings and is taking approximately 150 to 170 cc per kilogram per day of enfamil 20 and breast milk. the mother has had initially some difficulty with breast feeding and now is doing better in that regard. he has normal voiding and stooling patterns. he did have one guaiac positive stool. his abdominal exam is benign although there is a small anal fissure. he has subsequently had stool output which has tested guaiac negative. discharge weight 2395 gms, l 50.5 cm, hc 33.5 cm. 4. infectious disease: a cbc and blood culture was sent on admission. the white blood cell count was 15.6, differential was 37 polys, 50 lymphocytes and no band forms. the blood culture remained sterile and the patient was observed off antibiotics. 5. hematology: the initial hematocrit on admission was 50.5 and the platelet count was 231. there was mild hyperbilirubinemia with a peak bilirubin level of 10.1/0.4 on day of life 2. he was treated with 3 days of phototherapy. the last bilirubin level was 7.7/0.3 on day of life 5. 6. sensory: the patient had hearing screening performed on with automated auditory brain stem responses. the baby passed in both ears. 7. other - the infant had a circumsicion on . it is healing well. condition on discharge: good. discharge disposition: to home. name of primary pediatrician is dr. , pediatrics. the phone number is and the fax number is . the mother will call dr. and arrange a follow up appointment on . care and recommendations: 1. feeds at discharge, breast milk and enfamil 20 po ad lib. 2. medications, none. 3. car seat position screening passed. 4. state newborn screening status sent per protocol and there has been no notification of abnormal results. 5. immunizations received hepatitis b vaccination on . 6. immunizations recommended, synagis rsv prophylaxis should be considered from through for infants who meet any of the following three criteria, born at less then 32 weeks, born at 32 and 35 weeks with plans for day care during rsv season, with a smoker in the household or with preschool siblings, or with chronic lung disease. influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age. before this age the family and other care givers should be considered for immunization against influenza to protect the infant. 7. follow-up: a) dr. , b) vna-care network, 1-. discharge diagnoses: 1. prematurity at 34 and 5/7 weeks. 2. twin number two. 3. status post rule out sepsis (off antibiotics). 4. apnea and bradycardia of prematurity, resolved. 5. feeding immaturity, resolved. 6. physiologic hyperbilirubinemia, resolved. 7. circumcision performed on . 8. cardiac murmur, consistent with pps. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances other phototherapy circumcision diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition neonatal jaundice associated with preterm delivery other preterm infants, 2,000-2,499 grams routine or ritual circumcision transitory tachypnea of newborn transient neonatal thrombocytopenia 

Answer: The patient is high likely exposed to