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: the infant is a 1105 gm, 30 week gestation female, twin no. 2 who is admitted to the neonatal intensive care unit for management of prematurity. the infant was born to a 28 year old, gravida 3, para 1 to 3 mother. prenatal screens were b positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, group b streptococcus unknown. other screens, gonorrhea/ chlamydia/human immunodeficiency virus negative. also cystic fibrosis screening negative. past obstetrical history, cesarean section, full term girl. this pregnancy notable for in fertilization twin gestation, dichorionic/diamniotic. complete previa with episodes of bleeding, admission at 28 weeks and then recently presented again to with bleeding. preterm labor. insulin dependent type 2 diabetes mellitus, class a2. deep venous thrombosis at ten weeks, left arm, treated with lovenox and aspirin for three weeks. betamethasone complete on and . maternal medications: iron, prenatal vitamins, insulin. social history: mother is a visiting nurse. delivery: delivery by cesarean section under general anesthesia for bleeding. was also having continued contractions despite magnesium tocolysis. group b streptococcus unknown, no maternal fever, no prolonged rupture of membranes, no interpartum antibiotics. infant emerged with good tone but weak, irregular respirations. routine drawing, suctioning, stimulation and free flow oxygen, given positive pressure ventilation for 30 seconds, responded well. apgars were 6 at one minute and 7 at five minutes. the infant was transported to the neonatal intensive care unit for further care. physical examination on admission: birth weight was 1105 gm (10th to 25th percentile), length 38 cm, 25th percentile, head circumference 27.5 cm, 25th percentile. anterior fontanelle open and flat, palate intact, moving all extremities. examination notable for respiratory distress, retractions and poor aeration. no murmur. regular rate and rhythm. pulses equal, well perfused. abdomen soft, nontender, three vessel cord, no hepatosplenomegaly, anus patent. normal premature female genitalia. spine intact. clavicles intact, hips stable. normal tone for gestational age, active, alert. hospital course: respiratory - the infant was intubated upon arrival to the neonatal intensive care unit and received two doses of surfactant. the infant weaned on her ventilator settings and was extubated on day of life 1 to cpap 6 cm of water, 21 percent. blood gases remained stable. the infant was transitioned to room air by day of life 3. the infant was also started on caffeine citrate on day of life 3. see below for respiratory issues prior to transfer to . cardiovascular - infant received one normal saline bolus, 10 cc per kg for borderline blood pressures on admission. blood pressure remained stable until day of life 7 when the infant started to decompensate, see below. infant received one course of indocin for presumed patent ductus arteriosus. the murmur disappeared and the infant did not receive an echocardiogram. fluids, electrolytes and nutrition - the infant was initially nothing by mouth, receiving 80 cc per kg per day of d10/w via an umbilicus venous catheter. the infant advanced to 150 cc per kg per day by day of life 6. enteral feedings were started on day of life 2 and were stopped due to patent ductus arteriosus. feedings resumed on day of life 5. until the infant became sick the infant was receiving 70 cc per kg per day of premature enfamil 20 or breast milk 20 calories per ounce. during that time the infant was receiving parenteral nutrition and intralipids. feedings were tolerated without difficulty, no aspirates. stools have been guaiac negative. the umbilicus venous catheter was removed on day of life 7. the most recent electrolytes on day of life 7 () showed a sodium of 130, chloride 106, potassium 4.6, tco2 of 13. the infant has been receiving maximum acetate in her parenteral nutrition, for evidence of metabolic acidosis felt to be most c/w type ii rta in this otherwise well appearing infant. urine output has been 3 to 4 cc per kg per hour. the plan was to follow up on a second set of electrolytes on to evaluate the metabolic acidosis. gastroenterology - the infant was started under single phototherapy on day of life 1 for a bilirubin level of 4.8, maximum bilirubin level on day of life 2 was 7 with a direct of 0.3. the infant was started on double phototherapy. phototherapy was discontinued on day of life 5. the rebound bilirubin level on day of life 7 was 4.5 with a direct of 0.2. hematology - complete blood count on admission showed white blood cell count of 9.1, hematocrit 42.1, platelets 230,000, 14 neutrophils, 0 bands. the infant has not received any blood transfusions this hospitalization. infectious disease - the infant received a total of 48 hours of ampicillin and gentamicin for rule out sepsis. initial blood cultures on admission remained negative. neurology - the infant has not received any head ultrasounds this hospitalization. head ultrasound was planned for the week of . infant clinically stable at day of life 7, infant noted at 5 pm by registered nurse to be pale and quiet. the infant was examined by attending neonatologist, and found to be awake, alert and breathing comfortably in room air. the infant was noted to be mildly tachypneic c/w with the known metabolic acidosis. decision was made to continue to observe and proceed with sepsis evaluation if desaturations or apnea or bradycardia were noted. infant's umbilical venous catheter was discontinued as per routine on dol 7 at without incident. nnp was contact at approximately 8:00 pm for increasing apneic episodes with desaturations. the infant was examined and noted to be very poorly perfused and mottled. complete blood count, differential, blood culture and arterial blood gas were drawn. the infant was started on vancomycin and gentamicin an arterial blood gas at approx 8:30 pm was notable for a ph of 6.96, carbon dioxide of 66, pao2 106, bicarbonate 16. infant was intubated with a 2.5 ett w/o difficulty and placed on simv. the complete blood count showed a white blood cell count of 10, hematocrit of 40.9 percent, platelets 313,000, 1 neutrophil, 15 bands, 62 lymphocytes, 12 metas, 4 myelos. at that time, the infant had a peripheral intravenous line in with d10/w parenteral nutrition, running at approximately 70 cc per kg per day. total fluids at that time were 150 cc per kg per day with feedings. feedings were discontinued. a second iv line was placed. a d- stick at that time was 320. intravenous fluids were then changed to d5/w with no electrolytes running at 110 cc per kg per day. films for intubation showed endotracheal tube in good position with no evidence of gastric bubble and question of (football sign), suggestive of a pneumoperitoneum. a follow up decubitus view showed a large perforation. was placed to low intermittent suction and surgery was called and arrived at the bedside at approximately 11 pm. the infant managed from approximately 10 pm to 12:30 am with multiple doses of normal saline totaling 60 cc per kg to maintain mean goal bp > 35. the infant was started on dopamine to and dobutamine was added for persistent hypotension. following intubation and control of the apparent respiratory acidosis with hand-bagging, the infant's profound metabolic acidosis was treated with sodium bicarbonate. the infant's hyperglycemia was treated with iv insulin. the most recent. dextrose sticks after boluses of regular insulin were given was 293 prior to transfer to . the infant was transported to the 's operating room for exploratory laparotomy at approx 12:30 am. mother and father were updated. infant was also baptized by registered nurse. condition on discharge: critically ill discharge disposition: to operating room. primary pediatrician: , , . state newborn screening was sent on . discharge diagnosis: prematurity 30 5/7 weeks. necrotizing enterocolitis with pneumoperitoneum hypotension hyperglycemia metabolic acidosis s/p respiratory distress syndrome. s/p initial sepsis w/u-negative (blood cultures ngsf at 48 hours) s/p treatment of patent ductus arteriosus treated with one course of indocin. s/p physiologic jaundice-rx'd with phototherapy , dictated by: medquist36 d: 04:36:54 t: 07:40:19 job#: procedure: parenteral infusion of concentrated nutritional substances insertion of endotracheal tube non-invasive mechanical ventilation other phototherapy diagnoses: twin birth, mate liveborn, born in hospital, delivered by cesarean section respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery patent ductus arteriosus 29-30 completed weeks of gestation other abnormal blood chemistry other preterm infants, 1,000-1,249 grams late metabolic acidosis of newborn 

Answer: The patient is high likely exposed to