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: 28 and 0/7 week gestation, twin number two, delivered pre term due to severe pregnancy induced hypertension and intrauterine growth restriction of this twin. prenatal history: mother is a 22 year old, gravida iv, para i, now mother. prenatal screens: ab positive, antibody negative, hepatitis b surface antigen positive. rpr nonreactive. rubella immune. gbs unknown. pregnancy notable for dichorionic, diamniotic, spontaneous twin gestation; progressive growth discrepancy. estimated fetal weight 1223 grams for twin a and 523 grams for this twin. also complicated by pregnancy induced hypertension. admitted on in transport from hospital. ultrasound showed absent end diastolic flow. biophysical profile of on both twins. betamethasone complete. on the day of delivery, mother experienced visual changes and increased blood pressure so the decision was made to deliver by cesarean section. rupture of membranes occurred at the time of delivery. no maternal fever and intrapartum antibiotic prophylaxis was not given. this twin emerged with spontaneous cry. heart rate greater than 100 but grunting, flaring and retracting were noted. apgars were six at one minute and seven at five minutes. infant was intubated in the delivery room and transferred to the neonatal intensive care unit without difficulty. physical examination: birth weight 612 grams (less than 10th percentile); length 30 cm (less than 10th percentile); head circumference 23 cm (less than 10th percentile). non dysmorphic with overall appearance consistent with gestational age except by size. anterior fontanel soft, open and flat. red reflex present bilaterally. palate intact. breath sounds diminished bilaterally with grunting, flaring and retracting. regular rate and rhythm without murmur. 2 plus peripheral pulses, including femorals. abdomen benign with three vessel cord. no hepatosplenomegaly or masses. normal female external genitalia for gestational age. normal back and extremities. skin: pink and well perfused. appropriate tone and strength. hospital course: respiratory: maximum ventilatory settings on admission were simv of 20, pip 20; peep 5 and 21 percent fi02. infant received a total of two doses of surfactant. ventilatory settings were weaned and the infant was extubated to c-pap on day of life two. caffeine citrate was also started on day of life two. on day 25, the infant was noted to have profound apnea and bradycardia, requiring reintubation. maximum ventilatory settings at that time were a simv of 30, pip 24, peep of 6 requiring 25 to 30 percent fi02. infant self-extubated on day of life 34 to c-pap and remained on c-pap until day of life 46 and was transitioned to nasal cannula, 75 cc to 125 cc. the infant remains on nasal cannula, requiring 50 to 75 cc of flow. she received a trial of lasix for three days from day of life 55 to 57. on , diuril was started and she is currently on 40 mg per kg per day of diuril. caffeine citrate was discontinued on . the last apnea nad bradycardia was on . she also received vitamin a for the prevention of chronic lung disease for a total of 12 doses intramuscularly. cardiovascular: the infant required dopamine infusion on admission to a maximum of 20 mcg per kg per minute. she weaned off of dopamine by day of life two and has remained hemodynamically stable throughout this hospitalization. an echocardiogram on day of life 10 revealed no patent ductus arteriosus. she continues to have a soft murmur that is considered a flow murmur. fluids, electrolytes and nutrition: the infant was initially receiving nothing by mouth, 100 cc per kg per day. on admission, an umbilical arterial catheter and an umbilical venous catheter were placed. they were discontinued on day of life six and a picc was placed for feeding advancement and parenteral nutrition. enteral feedings were started on day of life four and she advanced to full volume feedings of 150 cc per kg per day by day of life 14. the picc was removed on day of life 15. maximum caloric density of breast milk or similac special care 32 calories per ounce was achieved by day of life 24. the infant remains on special care 32 calories per ounce currently at 130 cc per kg per day po/pg. she has tolerated feeding advancement without difficulty. the most recent nutrition laboratory studies on day of life 44 showed an alkaline phosphatase of 440; calcium of 9.9; phosphorus of 4.8. the most recent electrolytes on revealed the following: na 140/k 4.4/cl 96/co2 37 . she is currently on potassium chloride supplements, due to her diuretic therapy. her current weight is 1870 grams; head circumference 30.5; length 41. gastrointestinal: infant was started on single phototherapy on day of life one. she received phototherapy for a total of three days. rebound bilirubin level on day of life four was 1.4 with a direct of 0.4 and the most recent bilirubin level on day of life eight showed a total of 0.7 with a direct of 0.4. hematology: baby's cbc on admission showed a white blood cell count of 4.9; hematocrit of 43 percent, platelets 123,000. three neutrophils, 0 bands. the infant received a total of three packed red blood cell transfusions this hospitalization. a repeat cbc on day of life one showed a white blood cell count of 5.6, hematocrit of 40.1 percent, platelets 133,000. 52 neutrophils, 1 band. the most recent hematocrit on was 30.7 . reticulocyte count is 6.0. infectious disease: infant was placed on ampicillin and gentamycin on admission and received 48 hours, due to prematurity and respiratory distress. blood cultures were negative at 48 hours and the infant's antibiotics were discontinued. due to maternal positive hepatitis b status, the infant received hepatitis b vaccine and hepatitis b immune globulin on admission. the infant received a total of 7 days of vancomycin and gentamycin for presumed sepsis, from day of life ten to day of life 17. blood cultures at that time remained negative to date. lumbar puncture results at that time showed a white blood cell count of 4, rbc of 24, total protein of 90, glucose of 51. viral cultures were sent on for influenza a, b and rsv, which were all negative. on day of life 25, the infant was noted to have profound apnea and required ventilatory support. vancomycin and gentamycin were again started at that time. infant was treated for a total of 10 days of antibiotics for mssa tracheitis/pneumonia. sputum cultures were sensitive to oxacillin so once the sensitivities were available, the infant was changed over to oxacillin. infectious disease was consulted at that time and the recommendation was to treat for 10 days. infectious disease has signed off. blood cultures have remained negative. neurology: infant has had three head ultrasounds. head ultrasound on day of life four and day of life 30 showed no intraventricular hemorrhage; no periventricular leukomalacia. follow-up head ultrasound on showed a question of a small, right, grade i intraventricular hemorrhage, however, when reviewed with other radiologists, it was thought to be normal. sensory: infant will need a hearing screening prior to discharge. ophthalmology: eyes examined most recently on , revealing immaturity of the retinal vessels, zone three, but no rop as of yet. a follow-up examination should be scheduled for the week of . psychosocial: social work was involved with the family. the sibling was discharged home in room air on . condition on discharge: currently nasal cannula, 50 cc, 100 percent fi02. former 28 week growth restricted infant. now 30 and week corrected. discharge disposition: discharged to level ii nursery, hospital. primary pediatrician: , m.d., pediatrics, phone number . feedings at discharge: 130 cc per kg per day of similac special care, 32 calories per ounce. caloric additives: base scs 24 mct oil 4cals/oz polycose 4 cals/oz promod tsp per 50 cc bm or 60 cc scs medications: 1. diuril 38 mg p.o. every 12 hours (40 mg per kg per day). 2. potassium chloride supplements, 2 meq three times daily. - increased today for hypochloremic, metabolic alkalosis 3. ferrous sulfate (25 mg per ml) dose 0.15ml once daily. 4. vitamin e 5 i.u. once daily. 5. prune juice 5 ml p.o. once daily. car seat position screening is recommended prior to discharge home. state newborn screens were sent on and which showed results within normal limits. repeat sample was sent on , which showed the ast out of range but, of note, that sample was drawn after a blood transfusion. a repeat sample is recommended at week ten of life. immunizations: received hepatitis b vaccine on and the second dose was given on . infant also received hepatitis b immune globulin on . per the aap "red book", infants born less than gms to hepatitis b positive mothers should be immunized with 4 vaccine doses: at 0, 1, , and 6-7 months of chronological age. so infant needs two further doses at 2-3 months of age and 6-7 months of age. recommended: synagis rsv prophylaxis should be considered from to 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: day care during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities or school age siblings. or, 3.) with chronic lung disease. influenza immunization is recommended annually in the fall for all infants once they reach six 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. two month immunizations are recommended to be given on , which coincide with when twin number ones immunizations are also due. follow up: primary pediatrician after discharge home. early intervention program. visiting nurses association. discharge diagnoses: 1. prematurity at 28 weeks. 2. intrauterine growth retardation. 3. status post respiratory distress syndrome. 4. presumed sepsis, requiring 7 days of vancomycin and gentamycin. 5. status post hypotension. 6. chronic lung disease. 7. anemia of prematurity. 8. apnea of prematurity. 9. status post indirect hyperbilirubinemia. 10. status post methicillin sensitive staphylococcus aureus tracheitis/pneumonia. , dictated by: medquist36 d: 00:49:00 t: 06:34:56 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours 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 arterial catheterization other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells umbilical vein catheterization diagnoses: pneumonia, organism unspecified twin birth, mate 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 extreme immaturity, 500-749 grams septicemia [sepsis] of newborn other and unspecified atelectasis 

Answer: The patient is high likely exposed to