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 a former 26 week female born at 540 gm delivered at 7:17 on . screens 0 positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, gbs unknown and human immunodeficiency virus negative. mom developed severe pregnancy-induced hypertension which progressed to eclampsia with a seizure at 4:20 am on the morning on delivery. fetal heart tracings showed decelerations during this event but stabilization afterwards. mother initially presented on the baby was known to have intrauterine growth restriction. mother was treated with betamethasone on . past obstetric history revealed two miscarriages and one term infant in . delivery was by cesarean section with apgars 5 at one minute and 7 at five minutes. the baby was intubated in the delivery room and was transferred to the newborn intensive care unit for ongoing care. physical examination: on admission weight 540 gm, less than 10th percentile, length 30.5 cm 10th percentile, head circumference 22.5 cm 10th percentile. current weight 1465 gm, 10th percentile, length 35 cm, 10th percentile, head circumference 30.25 cm, less than 25th percentile. vital signs on admission revealed temperature 37, heartrate 156, respiratory rate 40s, blood pressure 49/25 with a mean of 34. the baby appeared slightly dysmorphic on admission with prominent frontal bossing and possibly rocker-bottom feet. anterior fontanelle soft and flat, large with sutures slightly open and large posterior fontanelle. red reflexes, not clearly visible. pupillary membrane present. respiratory equal with slightly forced breathsounds. cardiovascular, s1 and s2 normal intensity, no murmur. abdomen soft, three vessel cord. genitourinary normal for gestational age female. extremities, feet somewhat flat. neurological, good tone, active responses to touch. of note, chromosomes ultimately were sent and were 46 xx within normal limits. current physical examination reveals with endotracheal tube, 3.0 cm tube taped at 7.4 cm marker at the lip on ventilator settings of 27/7 and a rate of 36, requiring fio2 of 30 to 40%. bilateral breathsounds are coarse and equal. heartrate is 140s to 160s with a soft systolic murmur. pulses are equal times four. baseline blood pressure is 60s to 70s/30s to 40s with means in the 40s to 50s. abdomen is distended, full, no bowel sounds. small umbilical hernia. tube to slow intermittent suction. anterior fontanelle, soft flat and full with suture split. baby is lethargic with a fentanyl drip running. she has a central picc line in and a peripheral intravenous line. hospital course: respiratory - the baby initially received three doses of surfactant and required conventional ventilation with peak pressures of 22/5 and a rate of 35. she transitioned to the high frequency ventilator on day of life #2. she had peak pressures of map of and delta p of 22, required several bicarbonate boluses for metabolic and respiratory acidosis. she ultimately transitioned again to the conventional ventilator on day of life #12 with settings of 22/6 and a rate of 28, requiring 35% oxygen. her respiratory and general support escalated around when she developed staphylococcus aureus pneumonia with a positive trach aspirate. she was critically ill which required not only high ventilator settings but also prolonged course of antibiotics, see infectious disease below. the baby ultimately developed large bilateral pneumatoceles which are present on chest x-ray. she has remarkably weaned her vent settings over the last several days from 28/7 and a rate of 40, overnight on to 19 escalated to 100% oxygen and began a watch for necrotizing enterocolitis. today she had a gas at 5 am of 7.28, 54. she has had her rate weaned over the course of the day with her last decrease down to a rate of 36 with 27/7 and oxygen requirement of 30 to 40%. her last gas approximately 1600 hours of 740, 43, 59, 28 and 0 which prompted decrease in rate from 38 to 36. cardiovascular - the baby initially did not require any pressor support on admission, had a soft murmur. she has had numerous echocardiograms, the first one being on which showed a probable patent ductus arteriosus with supersystemic right ventricular pressure. she received another echocardiogram on day of life #3 which showed a large patent ductus arteriosus with left to right flow and right ventricular hypertrophy. she had completed that course and ultimately progressed without further issues of the duct. she had a follow up echocardiogram on that showed no patent ductus arteriosus with right ventricular pressure greater than half the systemic and again on , which showed no patent ductus arteriosus, no evidence of vegetation and no ventriculoseptal defect. plan would have been to repeat another echocardiogram when she completed her antibiotics if not indicated sooner. on , pulmonary was consulted and agreed with the current treatment plan. the baby had been receiving 2 puffs q. 8 hours which continues. she was receiving diuril 30 mg p.g. b.i.d. which is 20 mg/kg/dose. this has been on hold since she was made npo on . the last dose was on . she also was receiving -cl supplements 1.5 meq p.g. b.i.d., last dose on , in pm. fluids, electrolytes and nutrition - the baby initially was npo. she had a radial artery line inserted and a double lumen umbilical vein catheter through which she received maintenance intravenous fluids and parenteral nutrition. trophic feedings were started on day of life #7. she achieved full feedings by day of life #12. when she became sick with staphylococcus aureus she was once again made npo and enteral feedings were reintroduced on day of life #42. she had frequent stops and starts but ultimately achieved full enteral feedings of breastmilk or pe 22. feedings again were held on into when her belly became distended and on she passed a bloody mucousy stool. she currently is receiving pn 12.5% glucose, 2 gm of protein and 1 gm of fat with 2 meq/100 cc of sodium chloride and 2 meq/100 cc of potassium acetate. she currently has a central picc line in place and a peripheral intravenous line. she had electrolytes within normal limits on with a sodium of 135, potassium of 4.6, chloride 101 and carbon dioxide of 23. her sodium has trended downward with a low of 127, 3.4, 89, 21, on in am bun 22, creatinine .5. at the time of this dictation, there is a set of electrolytes pending. her pn written for has not been hung at the time of this dictation. she is npo with to low intermittent suction. this has put out approximately 2 cc of tan mucousy fluid. her abdominal girth as increased over the last several days from 24 cm to 27 cm. she has had no stools since and her urine output in the past 24 hours is approximately 2 cc/kg/hr. gastrointestinal - the baby initially demonstrated physiologic jaundice and received phototherapy and has demonstrated a high direct bilirubin for which she has been treated with phenobarbital and actigall which was started nearly 2 days ago . her phenobarbital started on when her bilirubin was 8.9/7.3, 1.6. her last bilirubin on was 8/6.1 1.9. her phenobarbital current dose is intravenously 7 mg q.d. actigall was started on , dose 15 mg p.g. q. 12 hours, this is currently on hold. hematology - the baby is 0 positive, coombs negative and has received numerous blood transfusions. her hematocrit has dropped over the last 24 hours from 43 to 28. she is currently receiving a total of 20 cc/kg divided into two aliquots, the first is in the progress of infusing now. the baby also has required platelets in the last 24 hours. her platelet count dropped from 73,000 down to 42,000. she received 20 cc/kg of platelets this morning and platelet count is pending at the time of this dictation. pt/ptt and fibrinogen are also pending as well as d-dimer. infectious disease - the baby's original blood culture and complete blood count on admission had a white count of 2.2 with 26 polys, 0 bands, 63 lymphocytes and platelet count of 137,000 and hematocrit of 39. her neutropenia was thought to be related to maternal pregnancy-induced hypertension and bone suppression. at 48 hours the cultures were negative and the antibiotics were discontinued. on , day of life 9 she for lability had a repeat blood culture and complete blood count sent and was started on 48 hours of vancomycin and gentamicin. she received a blood transfusion at that time and looked clinically improved and antibiotics were discontinued. again on to she had a sepsis evaluation because of instability and also right upper lobe collapse on chest x-ray. she was started on vancomycin, gentamicin, and ceftazidime. on , her trach aspirate was positive for staphylococcus aureus. she was continued on vancomycin and gentamicin and was ultimately switched to gentamicin and oxacillin. she received 21 days of gentamicin, oxacillin continued for 29 days and then was switched to zosyn. after consulting with infectious disease and general surgery her current regime includes meropenem 30 mg/kg q. 8 hours which equals 44 mg/dose and gentamicin 4.5 mg intravenously which is 3 mg/kg q. 24 hours. other positive results - , urine culture positive for escherichia coli which was resistant to ampicillin, piperacillin and trimethoprim. , urine fungal culture negative. , blood fungal culture negative. cerebrospinal fluid fungal culture negative. , blood culture negative for fungus and bacteria. , she had an abdominal ultrasound done to rule out abscess. no abscess was seen. she was noted to have nephrocalcinosis and a small sludge gallbladder. , cerebrospinal fluid was negative. , blood culture remains negative to date. complete blood count serially from , started with white count of 14.3 with 40 polys, 0 bands, 61 lymphs and platelet count of 73,000, hematocrit of 43.8. later in the day white count dropped to 6.2 and platelet count to 42,000, hematocrit 36.7. early am on , white count was 4.6 with 49 polys, 13 bands and platelet count of 42,000. at that time she received 20/kg as stated above of platelets and is receiving packed red blood cells. serial kubs are included with this dictation and are concerning for dilated bowel loops, possible pneumatosis and we have been watching closely for free air. dr. from the from the surgical department has consulted and we have also consulted with the infectious disease team at the . while she is at , if it's possible for her to have immunology consultation due to the fact that she had multiple bout of infections with this time with multiple bacteria. neurology - the baby has had serial head ultrasounds done, the last one being on , all within normal limits. the baby is on a fentanyl drip, was on 2 mcg/kg/hr on am, which was increased to 3 mcg/kg/min. she has been on a fentanyl drip since . she was started at 2 mcg/kg/hr, achieved a maximum of 4 mcg/kg/hr by and has been weaning down with her dose being down to 2 mcg/kg/hr on and . today we resumed to 3 mcg/kg/hr. sensory audiology screening has not been done to date. ophthalmology - her eye examination, last one done on , which showed immature zone 2 with a plan to repeat in two weeks. dr. is the pediatric ophthalmologist that has done her eye exam. psychosocial - social work has been following mom. social worker is in newborn intensive care unit at . parents are mom and father , each have a 14-ish year old child from previous relationships. they all live together. parents visit frequently, mom daily and are appropriately concerned about . they are aware of the transport to the and severity of illness. condition on discharge: guarded. discharge disposition: to . pediatrician is dr. , medical associates. care recommendations: 1. continue npo with close observation for necrotizing enterocolitis. 2. medications - she is currently on meropenem 44 mg intravenously q. 8 hours which equals 38 mg/kg q. 8 hours, gentamicin 4.5 mg intravenously which equals 3 mg/kg, 2 puffs via endotracheal tube q. 8 hours, phenobarbital 7 mg intravenously q.d. diuretics are on hold. -ciel supplements are on hold. zosyn was discontinued . fentanyl drip 3 mcg/kg/hr. 3. state newborn screens have been serially done, initially there were some repeats done because of presumed prematurity and the last one was in range. 4. immunizations received, due for 60 day immunizations this week, none received to date. 5. immunizations recommended - i. synagis respiratory syncytial virus prophylaxis should be considered from through for infants who meet any of the following three criteria: a. born at less than 32 weeks; b. 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 c. with chronic lung disease. 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. 6. follow up appointments - per routine. discharge diagnosis: 1. former 26 weeker, currently corrected to 34 2/7 weeks 2. respiratory distress syndrome 3. status post pulmonary hemorrhage 4. status post staphylococcus aureus pneumonia 5. chronic lung disease with pneumatoceles 6. status post patent ductus arteriosus with treatment with indomethacin 7. positive trach aspirates for stenotrophomonas maltophilia 8. escherichia coli urinary tract infection 9. hyper direct bilirubinemia 10. rule out necrotizing enterocolitis , m.d. dictated by: medquist36 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 insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization other phototherapy diagnoses: single liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery extreme immaturity, 500-749 grams pneumonitis due to inhalation of food or vomitus methicillin susceptible pneumonia due to staphylococcus aureus septicemia due to escherichia coli [e. coli] transient neonatal thrombocytopenia 

Answer: The patient is high likely exposed to