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 registry was born to a 19 year old gravida 1, para 0 mother. prenatal laboratory data were significant for a blood type of a positive, dat negative, rpr nonreactive, rubella immune, hepatitis b surface antigen was negative, gc negative, chlamydia negative and hemoglobin electrophoresis was negative. maternal history of spina bifida and smoking ~4 cigs/day. pregnancy history - the estimated date of confinement was , by last menstrual period and 13 week ultrasound for an estimated gestational age of 24 4/7 weeks, normal fetal ultrasound at 17 weeks. pregnancy subsequently was uncomplicated with the exception of a urinary tract infection on which was treated with macrodantin. onset of vaginal hemorrhage and cervical dilatation with a footling breech presentation at happened on . the patient was admitted for magnesium tocolysis as well as ampicillin prophylaxis and antenatal steroid therapy. the antenatal steroids were begun 30 hours prior to delivery. there were variable decelerations noted with ultrasound showing a presenting cord which lead to a cesarean section delivery under general anesthesia to prevent complications of prolapse. the rupture of membranes was at delivery. there was no maternal fever. the parents had been consulted by the neonatology service prior to delivery and expressed preference for full resuscitative interventions. the delivery room course had an infant emerge with poor tone, no respiratory effort and bradycardia to 40 beats/minute. cord gas was 7.26, 53, 35, 25, and 7.35, 41, 42, and 24. the infant was dried, suctioned and bag-masked with positive pressure ventilation. high inspiratory pressures up to 45 mm of mercury were required to achieve chest excursions. a slow responsive heartrate over the first minute to 2 with subsequent intermittent bradycardia when the rate of positive pressure ventilation dropped. onset of irregular spontaneous respirations was by two minutes of age. the patient was intubated on the second attempt with 2.5 endotracheal tube taped to the 6 cm mark. apgars were 2 at one minute, 3 at five minutes and 5 at ten minutes. the patient was transferred to the newborn intensive care unit. physical examination on admission: the patient weighed 715 gm which was the 50th percentile. the frontal occipital circumference was 23 cm which was the 50 to 75th percentile and the length was 33 cm which was also the 50th to 75th percentile. the patient was on a warmer in no noticeable distress. head, eyes, ears, nose and throat was significant for an anterior fontanelle which was soft and flat, nondysmorphic female with no caput and an intact palate and eyes that were fused. the chest had moderate intercostal retractions with spontaneous respirations and fair excursions with fair breathsounds bilaterally with scattered crackles cardiovascular, regular rate and rhythm with no murmur noted. abdominal examination showed a three vessel umbilical cord. the abdomen itself was soft, nondistended with no masses. genitourinary was normal female genitalia and a patent anus. neurological examination, the patient was moving all extremities and was responsive to stimulation. the skin had noted bruising over the arms and an abrasion over the right anterior aspect of the neck. the extremities had no spinal dimple, problem with the clavicles or limbs. hospital course: respiratory - the patient was intubated at several minutes of life and has remained so to this point. the patient was started off on a conventional ventilator at fairly high settings of peak inspiratory pressures of 25 with positive end-expiratory pressures of 5 and rates around 25. the patient did, after three doses of surfactant, wean down fairly rapidly on the ventilator settings to a low point of positive inspiratory pressure of 17, positive end-expiratory pressure of 5, and rate of 14. however, over the course of the next several days from day of life #3 to day of life #8, the patient trended up on her ventilator settings and was placed on high frequency ventilation on or day of life #8. we remained on high frequency ventilation until which was day of life #11 and was converted back to the conventional ventilator, initially at settings of 20/5 with a rate of 28. due to bacteremia and subsequent sepsis and currently pneumonia as of today, our ventilator settings as of are a positive inspiratory pressure of 24, positive end-expiratory pressure of 6 and rate of 29. the patient has not had any period of time where she hasn't been ventilated and has been on caffeine in the past but due to high ventilator settings is not currently on caffeine. cardiovascular - the patient required a normal saline bolus on the first day of life due to hypotension and did require dopamine for blood pressure support for the first approximately 36 to 48 hours. the patient has not needed any other support for blood pressure since then. there was a patent ductus arteriosus check on the third day of life due to concerns of acidosis and some widened pulse pressures but that patent ductus arteriosus check was negative. so, to summarize, the patient has never had a murmur or evidence of patent ductus and only received two days of dopamine. fluids, electrolytes and nutrition - started off on d10/w and was advanced to parenteral nutrition. she had started off on total fluids of 120 and rapidly increased to about 190 cc/kg/day by day of life #2. that fluid rate was weaned down to 160 cc/kg/day by day of life #5 and then has been maintained on approximately 150 cc/kg/day since then. the patient was supported with parenteral nutrition until day of life #9 on , when breast milk feeds were instituted. breast milk feeds were tolerated very well and advanced steadily to full feeds by which was day of life #16. breast milk was concentrated and has is currently, breast milk 30 with promod at 150 cc/kg/day. the last set of electrolytes were on with sodium 141, potassium 5.2, chloride 108 and bicarbonate of 24. there is a set of electrolytes due on . gastrointestinal - the patient did have marked bruising on the first day of life and was started on phototherapy . she did have bilirubins in the high 2 to 3 range and remained on phototherapy through day of life #13 which was and has been off of phototherapy since that time. the most recent weight was from today, and was 847 gm compared to a birthweight of 715. hematology - the patient started off with a hematocrit of 42.1 and was transfused 20 cc/kg on day of life #2 and was transfused a second time on and then was transfused for the third time on . infectious disease - the patient was started on ampicillin and gentamicin due to prematurity and concerns about course and need for blood pressure support for 48 hour rule out. the antibiotics were stopped after 48 hours, however, due to a red umbilical cord and spells which were not consistent with her previous course, a rule out sepsis was again done on or day of life #6 and blood culture from that time grew out gram positive cocci in clusters, staphylococcus epidermidis, and vancomycin and gentamicin were started. these doses were kept at adequate levels and had subsequent repeat cultures which were also positive and a repeat culture was negative on and a seven day course was completed of vancomycin from to . a lumbar puncture was done which was negative. the patient had also in the last two days, over the course of about to currently was unable to wean on the ventilator and had had more frequent drifts and was more labile. complete blood count done on had a white count of 19.5, hematocrit of 26 for which the baby was transfused and platelet count of 380, though differential had 57 polys, 0 bands and 30 lymphs. however, the blood culture from did show gram positive cocci in pairs and clusters and vancomycin and gentamicin were started. an lumbar puncture is due to be performed and we will continue the vancomycin minimum for 14 days. neurological - this patient has had two normal head ultrasounds to this point and will need a one month head ultrasound the week of . sensory - audiology screening has not been done. an ophthalmologic examination has not been done. psychosocial - social worker has been involved with the family. the mother is 19 and her and the father are not currently married. the grandmother on the mother's side is a newborn intensive care unit nurse intensive care unit. they have been very involved and have been kept up to date with weekly family meetings. summary of current management: the patient is currently being fed breast milk 30 with promod at 150 cc/kg/day. current medications: caffeine, vancomycin, gentamicin, vitamin e, iron. she has received intermittent doses of lasix without response. i have been considering starting diuril but none has been started at this point due to lack of response from lasix. state newborn screen status is pending. the patient has not received any immunizations to this point. immunizations recommended - synagis respiratory syncytial virus 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 plans for daycare during respiratory syncytial virus season, with a smoker in the household or with preschool siblings; or 3. 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. discharge interim diagnosis: 1. extreme prematurity 2. chronic lung disease 3. staphylococcus epi sepsis 4. staph sepsis (#2), id pending. , 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