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 was born to a 19 year old gravida 1 para 0, now 1 mother. prenatal screens were significant for a blood type a positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, gc negative, chlamydia negative and gbs unknown. maternal history of spina bifida and smoking approximately four cigarettes per day. pregnancy history - edc by last menstrual period, 13 week ultrasound for estimated gestational age of 24 week gestation, normal fetal ultrasound at 17 weeks. pregnancy subsequently was uncomplicated with the exception of urinary tract infection on , which was treated with macrodantin. onset of vaginal hemorrhage and cervical dilatation with a footling breech presentation at on . the patient was admitted for magnesium tocolysis as well as ampicillin prophylaxis and antenatal steroid therapy. antenatal steroids were begun 30 hours prior to delivery. there were variable decelerations noted with ultrasound showing a presenting cord which lead to cesarean delivery under general anesthesia to prevent complications of prolapsed cord, the rupture of membranes without delivery. there was no maternal fever. the had been counseled by the neonatology service prior to delivery and expressed preference for full resuscitative intervention. the delivery room course had an infant emerge with poor tone, no respiratory effort and bradycardia to 40 beats/minute. cord blood gas was 7.26, pco2 53, po2 35, total carbon dioxide 25 and 7.35, 41, 42 and 24. the infant was dried, suctioned and bag mask ventilated with positive pressure ventilation. high inspiratory pressures up to 45 mm of mercury were required to achieve chest excursion. a slow responsive heartrate over the first minute to two minutes with subsequent intermittent bradycardia with a rated positive pressure, ventilation dropped. onset of irregular respirations was about two minutes of age. the patient was intubated on the second attempt with a 2.5 endotracheal tube taped at the 6 cm mark. apgars were 2 at one minute, 3 at five minutes, 5 at ten minutes. the patient was admitted to the intensive care unit for further management of prematurity. physical examination on admission: patient's weight was 715 gm, 50th percentile, head circumference 53 cm, 50th to 75th percentile and length was 33 cm, 50th to 75th percentile. the patient was on a warmer in no noticeable distress. anterior fontanelle was soft and flat, nondysmorphic female with no caput and intact palate and eyes which were fused. the chest had moderate intercostal retractions with spontaneous respirations and fair excursions with fair breathsounds bilaterally and scattered crackles. regular rate and rhythm with no murmur noted. abdominal examination showed a three vessel umbilical cord, soft, nondistended and no masses. normal external female genitalia and patent anus. the patient was moving all extremities, responsive to stimulation. skin with notable bruising over arms and abrasion over the right inferior aspect of the neck. extremities within normal limits. spine, straight, no defects. no problems with clavicles or limbs. hospital course: was intubated on admission, required three doses of surfactant for management of respiratory distress syndrome and remained intubated for a total of 53 days. maximum ventilation support was positive end-expiratory pressure 24, positive inspiratory pressure 6, rate 29 with oxygen requiring up to 70%. she remained intubated for a total of 53 days and was extubated to a cpap for 6 cm. she remained on cpap for ten days total and was transitioned to nasal cannula oxygen. she currently remains on nasal cannula 200 cc flow, 100% oxygen. she was initially started on diuril/chlorothiazide on starting at 40 mg/kg/day. she continues on chlorothiazide and potassium chloride supplements. she was treated for apnea and bradycardia of prematurity with caffeine citrate and this discontinued on . cardiovascular - an echocardiogram was performed on to rule out patent ductus arteriosus. echocardiogram revealed no patent ductus arteriosus and the infant has been cardiovascularly stable throughout the hospital course. the infant currently has intermittent murmur consistent with pps. fluids and electrolytes - her birthweight was 715 gm. length was 33 cm. head circumference was 23 cm. her discharge weight , head circumference and length was . was initially started on 120 cc/kg/day of d5/w. she received parenteral nutrition and initial lipids for a total of 15 days. enteral feedings were initiated on day of life #9 and she achieved full enteral feeds by day of life #15. she is currently at maximal enteral intake which is 150 cc/kg/day of premature enfamil 32 cal with promod to support for nutritional need. she is currently ad lib feeding enfamil 24 calorie and receiving potassium chloride supplements secondary to potassium losses related to diuril. her most recent set of electrolytes were drawn on and they were . gastrointestinal - her peak bilirubin was on day of life #10 and it was 3.7/0.2. she was treated with 11 days of phototherapy and the issue has since resolved. hematology - hematocrit on admission was 37.6. she required three packed red blood cell transfusions and was treated with epo, folate, and fer-in- which was discontinued on . her starting hematocrit was 27.8, her ending hematocrit was 39.4. her current most recent hematocrit was 29.3 with a reticulocyte count of 11.6 and that was on . she is currently receiving 2 mg/kg/day fer-in- supplementation in addition to the 2 mg/kg/day she takes through enteral feeding. infectious disease - the complete blood count and blood culture were obtained on admission. her initial complete blood count was benign. she received antibiotics for a total of 48 hours at which time her blood culture remained negative. her antibiotics were discontinued. at a week of age the infant had a positive blood culture for staphylococcus epidermidis bacteremia, required vancomycin and gentamicin for a total of 14 days and also required platelet transfusions times one and she has had no further issues with sepsis during her hospital course. neurology - head ultrasound on day of life #2, one month of age and day #97 were all within normal limits. head ultrasound on demonstrated no signs of periventricular leukomalacia but had some evidence of extraaxial fluid. her neurological examination is within normal limits. sensory - ophthalmology, has been followed by dr. from for retinopathy of prematurity. on her eye examination revealed stage 3 and zone 2 bilaterally requiring laser surgery. her most recent examination was performed on , revealing stage 1, zone 2, anterior with regression. planned follow up examination is in one week with dr. at . audiology, hearing screen was performed with automated auditory brainstem responses and the infant passed in both ears. psychosocial - a social worker has been involved with this family and can be reached at . maternal grandmother is a intensive care unit nurse at the and has been a good support person for both mother and father. the visit regularly and are involved with her care. condition on discharge: stable. discharge disposition: home. primary care pediatrician: dr. , , telephone . care recommendations: feeds at discharge - continue enfamil 24 calorie, ad lib feedings. medications - continue fer-in- supplementation of 2 mg/kg/day in addition to the fer-in- received through feeds. continue diuril medication 40 mg/kg/day. -ciel supplementations . carseat position screening - the infant has been tested in her carseat for a total of 90 minutes and she . state screens - sent per protocol and have been within normal limits. immunizations received - received her first round of two month immunizations including hepatitis b vaccine, dtap, hib, ipv and pneumococcal 7 valiant. she has received her second dose of hepatitis b vaccine on . immunizations recommended - 1. synagis respiratory syncytial virus prophylaxis should be considered from through for infants who meet any of the following three criteria: born at less than 32 weeks; born between 32 and 35 weeks with plans for daycare during respiratory syncytial virus season, with a smoker in the household or with preschool siblings; or with chronic lung disease. 2. 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 caregivers should be considered for immunization against influenza to protect the infant. follow up appointments: 1. dr. at on . 2. pulmonology discharge diagnosis: 1. former 24 weeker 2. status post respiratory distress 3. chronic lung disease 4. status post staphylococcus epidermidis bacteremia 5. retinopathy of prematurity, treated with laser therapy 6. anemia of prematurity 7. apnea of prematurity, resolved dr. m.d dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube other phototherapy unilateral repair of inguinal hernia, not otherwise specified destruction of chorioretinal lesion by laser photocoagulation diagnoses: single liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery chronic respiratory disease arising in the perinatal period anemia of prematurity retrolental fibroplasia extreme immaturity, 500-749 grams 

Answer: The patient is high likely exposed to