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: interim discharge summary: this summary covers the interim dates from to . please see prior history of present illness for patient's course over the prior two months. summary of hospital course by system: respiratory: baby girl was on nasal cannula at the beginning of this interim period for two days but was transitioned quickly to room air. she has been on room air throughout this month with mild apnea and bradycardia. she had apneic spells and was on caffeine until mid month when her caffeine was discontinued on the . she has had no serious apneic spells since then but continues to have mild bradycardias usually associated with feeds. her last bradycardia was overnight, the 27th, and was associated with feeding. cardiovascular: baby girl has been cardiovascularly stable throughout this time period with normal blood pressures and perfusion. she had an echocardiogram that was performed when she was at in from the that was negative for any valvular vegetation. fluids, electrolytes and nutrition: baby girl tolerated her feeding even throughout the beginning part of this month when her blood cultures were positive with staph aureus. upon her return to from on the she quickly attained full volume enteral feedings by nasogastric tube. she was advanced to a maximum calorie density of 28 kilocals per ounce with promod. she had good weight gain and therefore on the 21st on this month was cut back to 26 calorie formula. she currently is on special care 26 calorie formula without promod at a total volume of 150 cc per kilo per day. her discharge weight is 2160 grams. she is currently beginning to take feedings by and is doing so very taking approximately half of her bottle volume when offered the bottle which is about twice per day. her most recent set of electrolytes were on the , a sodium of 140, potassium of 5.8, chloride of 111, co2 of 20, bun of 7, creatinine .2. she also had nutrition laboratories sent on the with an alkaline phosphatase of 235, a calcium of 9.2 and a phosphorus of 6.7. gastrointestinal: she has tolerated feedings well with no history of significant aspirate or emesis. hematology: baby girl most hematocrit is 25.4 from the . her last transfusion was on the for a hematocrit of 27. she was transfused at this point secondary to having had multiple blood draws for blood cultures and drug levels given her prolonged antibiotic therapy course. infectious disease: baby girl was transferred over to , on the for further work up of what turned out to be osteomyelitis associated with multiple positive blood cultures with staph aureus. her last positive blood culture was from , on the . she has had blood cultures negative from the , the , the 4th as well as the upon her return here to the . all of the positive blood cultures did show sensitivity to oxacillin as well as gentamicin which she was on for the first week of her therapy for synergy. she has been oxacillin throughout and currently on the day of transfer is on day 27 of 42 of oxacillin therapy for right tibial osteomyelitis. she has a broviac placed in her left chest which is in the superior vena cava-right atrial junction. this broviac was placed on the . the remainder of her work up surrounding her positive blood cultures at consisted of a normal renal ultrasound on the , mri of the rest of her extremities also on the which showed an osteomyelitis of the right proximal tibia involving the growth plate with surrounding soft tissue swelling and myositis. her hips on that mri examination were normal as was her left leg. she had a head ct performed the which showed an increased density in her left germinal matrix but no lesions and no abscesses. baby girl has had two 48 hour rule out events secondary to temperatures of 100.3 to 100.5. during this time a blood culture was sent both from her broviac as well as peripherally and vancomycin and gentamicin were started in addition to the oxacillin. the first of these episodes was on and the second of these episodes started on . she also had a c-reactive protein sent during these times which was less than 0.5. we used this value in conjunction with a negative blood culture to discontinue her vancomycin and gentamicin each time after 48 hours of blood negative cultures. her c-reactive protein had been elevated above 1 during the initial phase of her positive blood cultures and osteomyelitis. orthopedics: her right proximal tibial osteomyelitis has improved, yet there is still a discrepancy in circumference around her proximal tibia of her right leg compared to the left. currently it measures 9 1/2 cm, about 1 cm larger than her left. there is evidence of bony overgrowth in this area but there has not been swelling or erythema since the first week of this month. as stated above, she continues on oxacillin and will continue a 42 day course for this. she has been followed by dr. , orthopedic fellow at , and will need close follow up when she is discharged from the nursery. neurology: baby girl had a head ultrasound on the that confirmed a left germinal matrix hemorrhage but no other abnormalities. sensory: - audiology: she has not had hearing screen performed. ophthalmology: she had an eye examination on the that showed her retinas to be immature. on the day of transfer, the , she had a repeat examination that showed her eyes to be immature zone 3. she will need follow up ophthalmology examination in three weeks per recommendation. condition on discharge: good. discharge disposition: level 3 nursery . medications: include vitamin e and iron as well as oxacillin. discharge diagnoses: prematurity. presumed sepsis. osteomyelitis. hyperbilirubinemia. immunizations: she received her hepatitis b immunization on the . , md , md procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances prophylactic administration of vaccine against other diseases injection of antibiotic transfusion of packed cells diagnoses: neonatal jaundice associated with preterm delivery 27-28 completed weeks of gestation neonatal bradycardia other respiratory problems after birth septicemia [sepsis] of newborn methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site other preterm infants, 1,000-1,249 grams unspecified osteomyelitis, lower leg 

Answer: The patient is high likely exposed to