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 -, triplet one, delivered at 24-5/7 weeks gestation, weighing 709 g, and was admitted to the intensive care nursery for management of extreme prematurity. the mother is a 27-year-old gravida 2, para 1 (now 3) woman with spontaneous triplet gestation. prenatal screens included blood type o positive, antibody screen negative, rubella immune, rapid plasma reagin nonreactive, hepatitis b surface antigen negative, and group b strep unknown. the pregnancy was complicated by triplet gestation, pregnancy-induced hypertension, triplet #2 and #3 monochorionic- monoamniotic and intrauterine growth retardation in triplet #2. mother received a complete course of betamethasone prior to delivery. delivery was by cesarean section under spinal anesthesia for worsening pregnancy-induced hypertension. this triplet was active at delivery and was given mask cpap and then was intubated in the delivery room secondary to extreme prematurity. apgar scores were at 7 at one minute and 8 at 5 minutes respectively. physical examination on presentation: weight of 709 g (25th to 50% percentile), length of 32 cm (25th percentile), head circumference 23 cm (25th percentile). an active premature infant, well perfused, with glistening skin. no significant bruising. anterior fontanel soft, open, flat. suture approximated. eyes fused. no clef. lungs with crackles and retracting. normal first heart sound and second heart sound. no murmur. abdomen without hepatosplenomegaly or masses. genitalia consistent with extreme prematurity. spine was intact. hips were stable. neurologic examination was nonfocal and age appropriate. hospital course by system: 1. respiratory: received two doses of survanta for respiratory distress syndrome, initially requiring conventional ventilatory support, then transitioning to high frequency oscillatory ventilation between day 3 and 12 of life. subseuqently remained on conventional ventilation through day 51 of life, then cpap through day 58, followed by nasal cannula oxyegn through day 110 (). chronic lung disease was treated with diuril 40 mg/kg per day divided b.i.d. she also received caffeine citrate for apnea of prematurity. this was discontinued on , with the last spontaneous apnea/bradycardia occuring on . a baseline chest radiograph prior to discharge shows resolving diffuse chronic lung changes but no focal parenchymal infiltrates.. 2. cardiovascular: treated for low mean blood pressures following birth with a normal saline bolus, then dopamine infusion with maximum support 2.5 mcg/kg per minute in the first 24 hours. she also received a course of indocin for a presumed patent ductus arteriosus within the first 48 hours of life. she has remained hemodynamically stable since. at discharge, the cardiovascular examination is negative. 3. fluids/electrolytes/nutrition: enteral feeds were started on day of life 6 and reached full on day of life 14 without problems. the caloric density was increased gradually to a maximum of 32 calories per ounce with promod. the calories were weaned gradually starting on day of life 68 with good growth. has been on 20-calorie per ounce breast milk since . at the time of discharge she is feeding ad lib demand or breast feeding well with good weight gain. kcl supplements have been given due to diuretic-associated electrolyte losses. electrolytes on were sodium of 139, potassium of 4.6, chloride of 99, bicarbonate of 31. on , the calcium was 10, the phosphorous was 6, alkaline phosphatase was 452, albumin was 4. discharge weight is 3970 grams, length is 51 cm and head circumference is 36 cm. 4. gastrointestinal: was treated with phototherapy for indirect hyperbilirubinemia. maximum bilirubin peak of 3.4 and direct bilirubin of 0.2. 5. hematology: her blood type is b positive. she received total transfusion of 5 units of packed red blood cells during hospitalization, with the last transfusion on . the most recent hematocrit was on and was 33.8% with a reticulocyte count of 2.8. 6. infectious disease: received 48 hours of ampicillin and gentamicin following birth for rule out sepsis with a normal complete blood count and negative blood cultures. on day of life 22, she also started a 10-day course of gentamicin and cefotaxime for tracheitis pneumonia with culture positive, tracheal aspirate for klebsiella pneumoniae. the blood cultures was negative. complete blood count was within normal limits, and spinal fluid was negative. 7. neurology: has had multiple head ultrasounds since birth with the last at 36 weeks gestation; all were within normal limits. no bleeding or periventricular leukomalacia. 8. sensory: hearing screening was performed with automated auditory brain stem response, passed both ears. 9. ophthalmology: eyes were examined; most recently on , revealing mature retinal vessels. a follow-up examination is recommended in eight months. 10. psychosocial: the parents have been very involved with the babies. triplet #2 died within a few days of birth. the social worker has been involved with the family. the contact social worker's name is ; and she can be reached if you have any questions at . condition at discharge: a 113-day-old; now 40-6/7 weeks corrected age, triplet #1 with chronic lung disease, on diuretic therapy. discharge disposition: discharged home. pediatrician: name of primary pediatrician is dr. at pediatrics (telephone number ; fax number ). care recommendations: 1. feeds: ad lib demand breast feeding or expressed breast milk or enfamil-20 with iron. 2. medications: diuril 75 mg p.o. b.i.d. (plan to wean dose as tolerated); potassium chloride 3 meq p.o. b.i.d.; fer-in- 0.5 cc p.o. q.d.; poly-vi- 1 cc p.o. q.d. 3. car seat position screening: pending. 4. state newborn screens: multiple state newborn screens have been done secondary to gestational age; and all have been within normal limits. 5. immunizations received: received first hepatitis b immunization on ; to receive second hepatitis b immunization on . received 2-month immunizations on and that included dtap, hib, ipv, pcv7. 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 day care during respiratory syncytial virus season, with a smoker in the household, or with preschool siblings; and (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 care givers should be considered for immunization against influenza to protect the infant. discharge followup recommended: 1. appointment with dr. tuesday, . 2. to infant follow-up program at has been made. 3. to care group vna (telephone number ; fax number ). 4. early intervention made to regional child development center early intervention program (telephone number ; fax number ). 5. ophthalmology followup at eight months. discharge diagnoses: 1. appropriate for gestational age 24-5/7 weeks preterm female. 2. triplet #1. 3. respiratory distress syndrome; resolved. 4. hypotension; resolved. 5. chronic lung disease. 6. presumed patent ductus arteriosus; resolved. 7. apnea of prematurity; resolved. 8. indirect hyperbilirubinemia; resolved. 9. rule out sepsis. 10. klebsiella pneumoniae/tracheitis pneumoniae. 11. anemia of prematurity. dr. , md scd dictated by: medquist36 d: 16:07 t: 16:34 job#: procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other phototherapy diagnoses: observation for suspected infectious condition chronic respiratory disease arising in the perinatal period patent ductus arteriosus extreme immaturity, 500-749 grams unspecified fetal and neonatal jaundice other multiple birth (three or more), mates all liveborn, born in hospital, delivered by cesarean section pneumonia due to klebsiella pneumoniae hemolytic disease of fetus or newborn due to other and unspecified isoimmunization 

Answer: The patient is high likely exposed to