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: baby girl is the 656 gram product of a 25-week twin gestation born to a 35-year-old g2, p1, now 3 woman. maternal history notable for single functioning kidney. no other details at this time. prenatal screens were as follows: b positive, direct coombs negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, gbs unknown. antenatal history - iui, dichorionic, diamniotic, twin gestation. pregnancy complicated by cervical dilatation, treated with bed rest at 21 weeks. betamethasone complete on . fetal survey normal at 18 weeks and subsequently had normal growth of both twins. cesarean section on day of delivery under spinal anesthesia for progress of cervical dilatation. no intrapartum maternal fever or other clinical evidence of chorioamnionitis. no intrapartum antibacterial prophylaxis administered. membranes were ruptured at delivery and yielded clear amniotic fluid. the infant was vigorous at delivery, orally, nasally bulb suctioned, dried. bag mask ventilation given for less than 1 minute. infant intubated uneventfully on an initial attempt using a 2.5 et tube. heart rate was well maintained. apgars were 6 and 7 at 1 and 5 minutes respectively. physical examination: birth weight was 656 grams. anterior fontanel soft and flat. nondysmorphic. eyes fused. palate intact. neck normal. chest with severe intercostal and subcostal retractions. fair breath sounds bilaterally. a few scattered coarse crackles. cardiovascular: well perfused. regular rate and rhythm. femoral pulses normal. s1 and s2 normal. no murmurs. abdomen: soft, nondistended. no organomegaly. no masses. bowel sounds active. anus patent. 3- vessel umbilical cord. genitourinary: normal preterm female genitalia. cns: active, responsive to stimulation. tone appropriate for gestational age. symmetric. moves all extremities. gag intact. summary of hospital course by systems: respiratory: was intubated in labor and delivery and was admitted to the newborn intensive care unit, received a total of 2 doses of surfactant for respiratory distress syndrome. max ventilator support was 21/5 with a rate of 26. she remained on the ventilator for a total of 48 days at which time she transitioned to cpap. she remained on cpap for a total of 7 days at which time she transitioned to nasal cannula oxygen. she was on nasal cannula until , at which time she transitioned to room air and continues to be stable on room air. she did receive treatment with caffeine citrate early in her hospital course which was discontinued on . this was initiated for management of apnea and bradycardia of prematurity. she also received diuril for management of chronic lung disease which was discontinued on . pulmonary consult was obtained. dr. from was the pulmonologist who saw her. cardiovascular: received a total of 3 courses of indomethacin for treatment of pda. on , the infant continued to have a large patent ductus arteriosus at which time she was transferred to for pda ligation. since that time she had an intermittent pps murmur which has since resolved. fluids, electrolytes and nutrition: her birth weight was 656 grams. her discharge weight is 3.3 kg, head circumference 35 cm, length 50.5 cm. on admission to the newborn intensive care unit, she was maintained with uac and uvc with parenteral nutrition of d5w. a central picc line was placed at 7 days of age for further management. enteral feedings were initially started on day of life 7 which were later discontinued secondary to her patent ductus arteriosus. she was restarted on and achieved full enteral feedings by . her maximum caloric intake was 140 ml per kg per day of breast milk 32 calories with promod. she is currently ad lib feeding enfamil 26 calories (use 4 calories by concentration, 2 calories with corn oil). discharge weight is 3265 grams. gastrointestinal/ genitourinary: peak bilirubin was 4.5/0.3. she received phototherapy. this issue has since resolved. hematology: her blood type is a positive. coombs negative. her initial hematocrit on admission was 39.5. during her hospital course she received a total of 6 packed red blood cells transfusions with her most recent being on . her most recent hematocrit was on which was 31 with a reticulocyte count of 3.3. she is currently receiving ferrous sulfate 0.3 ml po once daily, concentration is 25 mg per ml. infectious disease: initial cbc and blood culture obtained on admission. cbc was benign and blood culture remained negative after 48 hours at which time ampicillin and gentamycin were discontinued. she also received during her hospital course 2 doses of ancef around her pda ligation. she received vancomycin and gentamycin for two separate reasons. one secondary to redness at the surgical site, blood cultures remained negative, and vancomycin and gentamycin were discontinued after 48 hours. vancomycin and gentamycin were later started secondary to a pustule on the surgical site. they were discontinued after 72 hours as the pustule resolved and the cultures remained negative. neurological: she has had 3 normal head ultrasounds; her most recent being on which was at 35 weeks corrected gestational age. she has been appropriate for gestational age. sensory: hearing screen was performed with automated auditory brain stem responses and the infant passed. ophthalmology: her most recent examination was on revealing stage 1, zone 2 to 3, 4 to 5 clock hours bilaterally with recommended follow up in 1 week. dr. is the ophthalmologist; telephone number: . condition on discharge: stable. discharge disposition: to home. name of primary pediatrician: dr. . telephone no.: . care recommendations: 1. feeds at discharge - continue ad lib feeding enfamil 26 calorie. 2. medications: ferrous sulfate 0.3 ml po daily. 3. car seat position screening was performed and the infant passed a 90-minute screen. 4. state newborn screens have been sent per protocol and have been within normal limits. 5. immunizations received: received hepatitis b vaccine on . she received pediarix on . she received hib on . she received prevnar on . synagis given . 6. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following three criteria. 1. born at less than 32 weeks. 2. born between 32 and 35 weeks with two of the following: daycare during the rsv season, a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings. 3. with chronic lung 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. follow up appointments recommended: ophthalmology on the week of with dr. . telephone no.: . dr. a few days after discharge. vna discharge diagnoses: 1. premature infant born at 25 weeks 2. twin #1. 3. respiratory distress syndrome. 4. mild chronic lung disease. 5. pda s/p ligation. 6. hyperbilirubinemia, treated. 7. apnea/bradycardia of prematurity, resolved. 8. anemia of prematurity, resolved. 9. rule out sepsis with antibiotics. 10. synagis candidate. , procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more extracorporeal circulation auxiliary to open heart surgery parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart insertion of endotracheal tube other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells other surgical occlusion of vessels, thoracic vessels diagnoses: 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 respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery neonatal bradycardia patent ductus arteriosus anemia of prematurity other specified conditions originating in the perinatal period extreme immaturity, 500-749 grams 25-26 completed weeks of gestation umbilical hernia without mention of obstruction or gangrene 

Answer: The patient is high likely exposed to