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 , is a 992 gram product of a 27 5/7 weeks gestation pregnancy born to a 43-year-old g 3, p 0 woman. prenatal screens: blood type o-, antibody positive for anti-d antibody, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group beta strep status unknown. this was an in fertilization pregnancy and was uncomplicated until 1 week prior to delivery when the mother experienced spontaneous rupture of membranes. she was treated with amp and erythromycin for multiple doses prior to the pregnancy. she was also treated with betamethasone and was completed at the time of delivery. the infant was born by vaginal delivery. apgars were 8 at 1 minute and 9 at 5 minutes. he required blow by oxygen in the delivery room. he was admitted to the neonatal intensive care unit for treatment of prematurity. anthropometric measurements at the time of birth: weight 992 grams in the 25-50th percentile. length 36.5 cm 50th percentile. head circumference 24 cm 25th percentile. physical examination at discharge: 3.145 kg. active, alert infant on nasopharyngeal prong cpap. head, ears, eyes, nose and throat: anterior fontanel open and flat. sutures opposed. symmetric facial features. nasal area intact without breakdown. palate intact. chest: breath sounds equal, well aerated, slightly coarse. intercostal retractions. cardiovascular: grade 2-3/6 systolic murmur at the left lower sternal border. normal s1-s2. pulses +2. abdomen soft, nontender, nondistended, no masses. active bowel sounds. cord healed. gu: normal male. testes descended bilaterally. extremities: moves all well. normal strength and tone. neuro: symmetric and appropriate reflexes. hospital course by systems: including pertinent laboratory data. 1. respiratory. this baby was placed on continuous positive airway pressure upon admission to the neonatal intensive care unit. he remained on nasal prong cpap on room air for the first 4 days of life. he then transitioned to room air, but soon thereafter required nasal cannula and the re initiation of continuous positive airway pressure. he experienced nasal breakdown due to the prongs and was trialed on a cannula, but had worsening respiratory distress and was intubated for the first time on day of life #18 and placed on conventional ventilator. at that time he also had chest x-ray and trache aspirate suggestive of methicillin resistant staph aureus and klebsiella pneumonia. he was treated with a 14 day course of antibiotics at that time and continued to have an unstable course from a respiratory standpoint, often requiring upwards of 80%-90% fraction inspired oxygen. he started a course of inhaled steroids on , but showed no improvement and was changed to systemic steroids on and received an 11 day course. he was able to make small amounts of weans from the respirator, but continued to be very labile and requiring high pressures and peeps to maintain adequate ventilation and oxygenation. on day of life #71, he started a longer term course of prednisolone, initially 2 mg/kg once daily for 5 days, dropping to 1mg/kg daily for 5 days then 1 mg/kg every other day. he has also been treated with lasix, aldactone and spironolactone diuretics. a pulmonary consult was obtained with dr. suggesting treatment for gastric esophageal reflux and consideration of a work up for primary ciliary dyskinesia. bronchoscopy and nasal biopsy for a planned for for . on this infant was able to be extubated from the ventilator and at the time of discharge, is on continuous positive airway pressure via prongs at 6-8 cm. oxygen requirement is 55%-70%. his respirations are labored and he is intermittently tachypnea. his most recent blood gas on cpap was on with a ph of 7.36, pco2 62, po2 57. as part of the evaluation for the severity of his chronic lung disease and infectious disease tendency, this infant had immunoglobulins sent which were within normal limits. he also has a surfactant protein analysis pending at the time of this dictation. hiv testing was negative. the plan is for transfer to boson under the care of the otorhinolaryngology service for a direct bronchoscopy and nasal biopsy. 2. cardiovascular. this baby initially had no murmur. with the onset of his severe respiratory distress he had pneumonia. an echocardiogram was obtained on that showed a structurally normal heart and no patent ductus arteriosus. with the persistence of his severe chronic lung disease and concerns for pulmonary hypertension, echocardiograms were reviewed on , and . he has no pulmonary hypertension, but on the most recent echocardiogram, supravalvular pulmonary stenosis was noted. he maintains normal heart rates and blood pressures. baseline heart rate is 150-170 beats per minute with a recent blood pressure of 93/54 mmhg. mean arterial pressure of 66 mmhg. 3. fluids, electrolytes and nutrition. this infant initially received intravenous fluids via a double lumen umbilical venous catheter. enteral feeds were started on day of life #3 and gradually advanced to full volume. his current formula is enfamil 24 w/ teaspoon bp per 60 mls. on the recommendation of the pulmonary consult and gi consult teams, he is being treated for reflux with prilosec and reglan. his electrolytes have been checked frequently and have remained relatively stable. they most recently were checked on with a sodium of 137, potassium of 5.3, chloride 100 and a total carbon dioxide of 29. weight on the day of discharge is 3.145 kg. 4. infectious disease. due to the prolonged rupture of membranes at the time of delivery, the baby was evaluated for sepsis. upon admission to the neonatal intensive care unit, complete blood count was notable for a white blood cell count of 42,300 with a normal differential. the elevated white blood cell count was felt to be due to the prolonged rupture of membranes. blood cultures obtained prior to starting intravenous ampicillin and gentamicin. the blood culture was no growth. he received a total 7 day course of antibiotics. a lumbar puncture was performed and results are within normal limits. as previously noted, on day of life #18, this infant required intubation for deteriorating respiratory status and had trache aspirate showing klebsiella and methicillin resistant staph aureus. he was treated with a 14 day course of vancomycin, gentamicin and ceftazidime. he also had 2 subsequent episodes of evaluation for sepsis due to clinical deterioration. those blood cultures were no growth. again, on , with deterioration of his respiratory status, trache aspirate was sent and gram negative rods were once again noted in his sputum. he was treated with gent and ceftazidime for another 10 day course. 5. hematological. this infant is blood type o- and is direct antibody test negative. hematocrit at birth was 53.7%. he has received 5 packed red blood cell transfusions, his most recent on . most recent hematocrit at that time was 30.1%. 6. gastrointestinal. this infant required treatment for unconjugated hyperbilirubinemia with photo therapy. peak serum bilirubin occurred on day #3, total 8.4 mg /dl. he was treated with approximately 5 days of photo therapy with a rebound bilirubin on day #11 of 3.5 mg/dl. repeat on was 1.7 mg/dl. as previously noted, this infant is being treated for gastroesophageal reflux with prilosec and reglan. 7. neurological. this infant has had 2 normal head ultrasound on and . he has a normal neurological exam. he has received ativan in the past for sedation, but was discontinued due to the onset of severe clonus. 8. sensory. audiology: hearing screening has not yet been performed. ophthalmology: this infant has had numerous screening eye exams for retinopathy of prematurity. his worst exam showed stage ii zone 3, clock hours. his most recent exam on showed regressing retinopathy of prematurity with immature vessels to zone 3 with a recommended follow up in 3 weeks. 9. psychosocial. both parents have been very involved and invested during their infants neonatal intensive care unit admission. the social worker involved with this family is and she can be reached at . condition on discharge: guarded. discharge disposition: transfer to for direct bronchoscopy and nasal biopsy. primary pediatrician: dr. at pediatrics. care recommendations at the time of discharge: 1. when feeding preemie enfamil 32 calorie/oz with added benaprotein, n.p.o. for the or with intravenous fluids of d10-w at 120 ml/kg per day. 2. medications: albuterol 2 puffs via mdi q.4h, prednisolone 3 mg pg every other day, spironolactone 6 mg once day, furosemide 6 mg pg every monday, wednesday and friday, reglan 0.5 mg q.8h, omeprazole 3 mg q.24h, chloride supplements 3 meq pg q.12h, potassium chloride supplements 1.8 meq q.12h. immunizations: immunizations were given on and included pediarix, hemophilus influenza b, and pneumococcal 7-valent conjugate vaccine. state newborn screens have been sent on numerous occasions with all results within normal limits. discharge diagnoses: 1. prematurity at 27 5/7 weeks gestation. 2. transitional respiratory distress. 3. klebsiella and methicillin resistant staph aureus pneumonia. 4. presumed tracheitis. 5. apnea of prematurity. 6. anemia of prematurity. 7. retinopathy of prematurity. 8. supravalvular pulmonary stenosis. 9. chronic lung disease. 10.gastroesophageal reflux. , md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more 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 umbilical vein catheterization diagnoses: esophageal reflux unspecified essential hypertension single liveborn, born in hospital, delivered without mention of cesarean section extreme immaturity, 750-999 grams respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery chronic respiratory disease arising in the perinatal period 27-28 completed weeks of gestation primary apnea of newborn anemia of prematurity retrolental fibroplasia other respiratory problems after birth ostium secundum type atrial septal defect methicillin susceptible pneumonia due to staphylococcus aureus pneumonia due to klebsiella pneumoniae late metabolic acidosis of newborn other specified perinatal disorders of digestive system acute tracheitis without mention of obstruction infundibular pulmonic stenosis 

Answer: The patient is high likely exposed to