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: this is baby girl a, twin gestation, 28 and week twin, admitted to the nicu with prematurity in respiratory distress. she was born to a 29 year-old, g1, p2 mother with pregnancy complicated by cervical shortening, resulting in admission and bedrest. she received a course of betamethasone and . on the night prior to delivery, the mother developed contractions and vaginal spotting. labor progressed magnesium therapy and she was taken for cesarean section. prenatal laboratory studies: mom was 0 positive, antibody negative, hepatitis b surface antigen negative. rpr nonreactive. rubella immune. gbs positive. delivery: the baby emerged with moderate tone and weak cry with improvement and vigor in color with stimulation and blow-by oxygen. heart rate remained greater than 100 at birth. the baby was intubated at approximately 10 minutes of age for respiratory distress and limited respiratory effort, with a 2.5 et tube. she was treated with two doses of surfactant. physical examination: admission physical examination is as follows: vital signs: temperature 95.9, improved to 98.2, heart rate 150 to 160, respiratory rate 40, blood pressure 52/27 with a mean of 32. weight was 1160 grams, 50th percentile. head circumference 27 cm, 50th percentile. length 37 cm, 25 to 50 percentile. oxygen saturations were 96% on 40 to 50% fi02 on a simv of 21/5 and a rate of 25 per minute. general examination: premature infant, responsive. skin: warm, pink, well perfused. head and neck: fontanel soft and flat. eyes open. ears and nares normal. soft palate intact. no dysmorphic features. neck: supple, no lesions. lungs: poorly aerated with ventilated breaths. coarse breath sounds. heart: regular rate, rhythm, no murmur. abdomen soft. no hepatosplenomegaly. quiet bowel sounds. no masses and a 2 vessel umbilical cord. genitourinary: normal female. femoral pulses were 2+ and anus was patent. extremities were warm. no lesions and spine normal. neurologically intact with good tone and moving all extremities equally. on discharge exam the baby has an erhthematous facial lesion on her forehead and on her eyelids consistent with a flameus nevus. she also has an umbilical hernia that is easily reducible. hospital course: 1. respiratory: the baby was intubated 10 minutes after delivery for respiratory distress and was given surfactant x2. she improved on day of life 2 and was extubated to c- pap for a short while and then progressed to room air rapidly. she remained on low flow o2 during feedings until . on day of life 2 through 26, she was treated with caffeine for apnea of prematurity. her episodes of apnea and bradycardia were not severe. she had occasional episodes with desaturation noted with dyscoordination of feeds and that delayed her discharge from the hospital. episodes resolved upon removal of the bottle and with pacing of her feedings. she has had some success using nipple to slow the flow of milk. 2. cardiovascular: on day of life 3, a loud murmur was noted. an echocardiogram was performed showing a pda and a pfo. she was treated with indocin and on day of life 6, she was re-echoed showing pfo and pda closed. since then, she has had an intermittent flow murmur and currently, for the past week or so, she has had no murmur appreciated on examination. blood pressures have remained stable and she has not experienced any episodes of hypotension during her hospital stay. a lasix trial was given for 3 days from through the 27th, due to the requirement of nasal cannula during feeds. this did not change her course and it was discontinued. otherwise, cardiovascularly stable. 3. gastrointestinal: on the first day of life, a uvc was placed and she was given intravenous fluids and subsequently parenteral nutrition until day of life 7. a picc line was placed on day of life 4 and the uvc was discontinued at that time. on day of life 7, we began pg or ng tube feeds with breast milk 20 calorie and progressively increased to preemie enfamil. nutrition was advanced to preemie enfamil 30 calories per ounce including promod protein supplements. increased rate of weight gain was noticed and calories were weaned. on day of life 50, she was decreased to 24 calorie and on day of life 61 weaned to enfamil 20 calorie. she began to take p.o. bottle feeding at 34 weeks of life gestation and, as of day of life 49, or approximately a couple of weeks, she has taken all of her feeds p.o. successfully. coordination of her bottle feedings has improved nicely over the past week. discharge weight - 3410 grams 4. fluids, electrolytes and nutrition: electrolytes have been stable throughout her stay. her most recent labs were done on showing normal calcium 10.5 and phosphorus 7.0. she has remained most of her stay on vitamin e and iron. vitamin e was discontinued a week ago and iron currently her only medication. 5. hematology: at 12 hours of life, she had an increased bilirubin of 3.7 and a direct of 0.3. phototherapy was initiated with single lights, graduating to neo-blue for a total of 5 days of therapy. her lowest hematocrit has been 26.6% on day of life 29 during her physiologic nadir. her reticulocyte count was 10.8 at that time and she has not required any transfusions during her stay. most recent hct on was 32.8% with a reticulocyte count of 4.3%. 6. infectious disease: at the beginning of birth, a cbc and a blood culture were drawn and ampicillin and gentamicin were started. her antibiotic course lasted 3 days until a blood culture was negative. she has had 2 blood cultures during her stay in the hospital, and , both of which were negative. the blood culture on the 13th was done as well as a cbc for low temperatures. no antibiotics were given at that time. surveillance cultures have shown that she is mrsa positive. she has remained on contact precautions for this. vaccines include on hepatitis b vaccine and as of , she has received her first vtap, ipv, hib, prevnar. 7. neurology: this patient has had 2 head ultrasounds during her stay, one on day of life 3 and one on day of life 30, both of which are normal. on her current physical examination she has a few beats of mild clonus in both ankles. 8. audiology: she has passed her hearing screen as of . 9. ophthalmology: she has been examined x3. showed immature zone 2. no rop, follow up in 2 weeks. (2) , immature zone three, follow up in 3 weeks. the latest examination was , showing mature eye examination, no rop and a follow up should be scheduled in 9 months from now. 10. psychosocial: social work was involved with the family. the contact number is . condition on discharge: stable to home. primary pediatrician: dr. . the telephone number there is . discharge feeds: enfamil 20 p.o. ad lib. discharge medications: ferrous sulfate 25 mg per ml. she is currently taking 0.3 ml daily. she passed her car seat test on . state newborn screen initially showed low thyroxine levels and sickle trait. the test was repeated on after feeds were initiated and showed only sickle cell trait positive, otherwise normal. immunizations: see infectious disease. they are up to date. synagis rsv prophylaxis should be considered from through 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: daycare 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 house hold contacts and out of home caregivers. follow up: follow up appointments are to be scheduled with dr. in the next 2 days. discharge diagnoses: 1. prematurity at 28 and 4/7 weeks. 2. respiratory distress syndrome. 3. rule out sepsis. 4. 2 vessel umbilical cord. 5. sickle cell trait positive. 6. pda treated with indocin. 7. pfo. 8. mrsa colonization - please note that if patient requires re-hospitalization, hospital staff should be notified of mrsa status and need for contact precautions. 9. umbilical hernia. 10.presumed flameus nevus on forehead. dr., 50-466 dictated by: medquist36 d: 14:42:32 t: 15:33:12 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart insertion of endotracheal tube other phototherapy prophylactic administration of vaccine against other diseases diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition infection with microorganisms resistant to penicillins twin birth, mate liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery 27-28 completed weeks of gestation patent ductus arteriosus anemia of prematurity other specified conditions originating in the perinatal period ostium secundum type atrial septal defect other preterm infants, 1,000-1,249 grams umbilical hernia without mention of obstruction or gangrene other apnea of newborn late metabolic acidosis of newborn carrier or suspected carrier of other specified bacterial diseases sickle-cell trait vascular hamartomas 

Answer: The patient is high likely exposed to