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: maternal history: the mother is a 35-year-old g1, para 0 to 1 woman with past medical history notable for hypertension, nephrolithiasis status post stent placement, and recent sinusitis treated with azithromycin. family history: noncontributory. social history: no illicit substance use. both parents are gi fellows here at . prenatal screens: a positive, dat negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, group b strep unknown. antenatal history: by lmp with confirmatory 7.5 week ultrasound. estimated gestational age 28 5/7 weeks at delivery. pregnancy was complicated by preeclampsia, oligohydramnios and growth restriction leading to admission 6 days prior to delivery. treatment with betamethasone, nifedipine and magnesium sulfate with eventual cesarean section under spinal anesthesia. rupture of membranes occurred at delivery and yielded clear amniotic fluid. there was no labor and no intrapartum fever or other clinical evidence of chorioamnionitis. neonatal course: the infant was vigorous at delivery. orally and nasally, bulb suctioned, dried. facial cpap administered for mild to moderate intercostal retractions. apgars were 7 at 1 minute and 8 at 5 minutes. the infant was transferred uneventfully to the nicu on cpap and intubated with surfactant administered at approximately 20 minutes of age. admission physical examination: preterm infant on warmer with moderate respiratory distress. birth weight 940 grams, percentile. ofc 25.5 cm, 25% percentile. length 35th to 5.5 cm, 25th percentile. heart rate 158, respiratory rate 50s-60s. temperature 96.9. bp 49/22, mean 33. sao2 96% in 25% oxygen. heent: anterior fontanel soft, flat, nondysmorphic, palate intact. neck and mouth normal, normal cephalic, red reflex bilaterally with vitreous haze, 2.5 endotracheal tube in place orally. chest: mild to moderate intercostal retractions, fair breath sounds bilaterally, no adventitious sounds. cvs: well perfused, regular rate and rhythm. femoral pulses normal. s1, s2 normal. no murmur. abdomen soft, nondistended, no organomegaly, no masses, bowel sounds active. anus patent. three vessel umbilical cord. gu: normal preterm female genitalia. cns: active, alert, responsive to stimulation. tone appropriate for gestational age and symmetric, moves all extremities symmetrically. gag intact. faces symmetric. integument: normal preterm. musculoskeletal: normal spine, limbs, hips and clavicles. hospital course: 1. respiratory: received her initial dose of surfactant at 20 minutes of age. she was extubated to cpap of 6 cm in 29-35% fio2. a cap gas of 7.33/38 was noted on cpap. she was started on caffeine citrate for apnea of prematurity. on day of life 3, she developed a spontaneous left sided pneumothorax which was treated with a thoracentesis and then chest tube drainage. the infant was reintubated orally and placed back on conventional mechanical ventilation with settings of 18/5 and a rate of 30 and 30% oxygen. the air leak persisted and multiple replacements and manipulations of the left thoracostomy tube were necessary to maintain drainage of the air leak. in spite of these maneuvers, the air leak persisted and on day of life 9, a second chest tube was placed, positioned subpulmonic to relieve reaccumulation of the air leak on the left side. on day of life 9, a persistent airleak was present in the posterior subpulmonic region necessitating a third chest tube on the morning of day 10 of life. on day of life 8, developed atelectasis versus consolidation on the right side. over this period to day of life 10 she required increased ventilatory support. due to issues of inadequate ventilation, she was changed from conventional ventilation to high frequency ventilation on , dol 8. on dol 9, due to acidosis and hypoxemia, various ventilator strategies were tried, but ultimately returned to high frequency ventilation. on the morning of dol 10, she was last tried on conventional ventilation. 2. cardiovascular. access: an umbilical venous catheter was placed upon admission and was utilized for fluid and nutrition administration throughout her hospital stay. on day of life 9, a peripheral arterial line was placed for increasing severity of illness and need for additional monitoring. there was no evidence of a patent ductus or other cardiovascular compromise until day of life 9 when started to become hypotensive requiring volume and vasopressor resuscitation. the baby alternated between periods of tachycardia and sinus bradycardia over the last few days of life. on the morning of she had sinus bradycardia to the 60s and required a short interval of chest compressions and a single dose of epinephrine to improve cardiac output. 3. fluids, electrolytes and nutrition. was maintained n.p.o. throughout her hospital stay. on day of life 8, she was given initial trophic feeding of breast milk which was subsequently discontinued in light of her worsening clinical status. serial electrolytes were monitored and course initially was complicated by hyponatremia, necessitating up to a maximum of 8.8 meq of sodium per kilo in her parenteral nutrition to correct her sodium deficits. over the last 48 hours, developed a metabolic acidosis despite aggressive bicarbonate replacement. she was transiently hyperglycemic in the initial phase of illness, necessitating a decreased glucose infusion rate; however, on day of life 10, likely in the setting of sepsis, she was noted to be significantly hypoglycemic with a glucose of 7. she was treated with multiple boluses of 2 ml/kilogram of d10w infused followed by an increase in her glucose iv infusion rate. subsequent glucoses were in the 60 range. 4. gi. was treated with phototherapy for physiologic unconjugated hyperbilirubinemia and light therapy was discontinued on day of life 8. a rebound was obtained on day of life 9 at 2.6. 5. heme/id. a cbc and blood culture were initially obtained upon admission with initial cbc notable for a white count of 5.9 with 7 polys and 0 bands, 89 lymphs and an absolute neutrophil count of 413. hematocrit 41.8%, 243,000 platelets. received multiple packed red blood cell transfusions. her hematocrit dropped by day of life 6 to 29.6 at which time she received her initial transfusion. on day of life 9 with the return to it was noted that her hematocrit was again in the 30% range and she was again neutropenic with a white blood cell count of 4.2 and 26 polys, 6 bands, 47 lymphs, 280,000 platelets. metas and myelos also present as well as toxic granulation. she received another blood transfusion at this time. on day of life 10, she was noted to be extremely neutropenic with a white blood cell count of 1.6 with 0 neutrophils, 0 bands, 70 lymphs, and 23,000 platelets. due to the persistent neutropenia, was continually on antibiotics. initially, she received a 7 day course of ampicillin and gentamicin for the first 7 days with appropriate gentamicin levels. she was started on vancomycin and gentamicin on day of life 8 for the initial decompensation and concerning cbc as explained above. she was also given oxacillin for her multiple manipulations of the thoracostomy tubes and was started on cefotaxime for broader coverage on day of life 10. the blood cultures remained negative to date. lumbar puncture was performed by dol 7 which ruled out spinal meningitis. 6. neurologic. had an initial head ultrasound on day of life 4 which was normal. it was repeated on day of life 10 and it remained without evidence for intracranial hemorrhage. she received morphine sulfate p.r.n. when intubated and during chest tube insertion. she was started on a fentanyl drip which was escalated to 5 mcg per kilogram and continued to get morphine p.r.n. and fentanyl p.r.n. mostly for procedures. given the persistent hypoxemia and acidemia especially over the final 12 hours of life, discussion with the family ensued regarding the likely neurodevelopmental compromise that may result given the prolonged nature and severity of her metabolic acidosis and hypoxemia. with regard for the futility in continuing to provide medical ervention, the decision was made to discontinue support. t. the parents held the infant as the lines were clamped off and the endotracheal tube was removed. the fentanyl infusion continued. the time of death was 1 p.m. the parents had multiple friends with them at the bedside for support. they declined clergy presence. limited autopsy request obtained for the chest only and the parents will be made aware of any new information that is received. social worker was present as well to assist the family. diagnoses: 1. intrauterine growth restriction, small for gestational age premature infant at 28-5/7 weeks. 2. respiratory distress syndrome requiring surfactant replacement. 3. left pneumothorax. 4. right pulmonary atelectasis versus consolidation. 5. presumed sepsis. 6. severe metabolic acidosis. 7. hyperbilirubinemia. 8. neutropenia. 9. hyperglycemia/hypoglycemia. , procedure: insertion of intercostal catheter for drainage 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 non-invasive mechanical ventilation arterial catheterization transfusion of packed cells diagnoses: single liveborn, born in hospital, delivered by cesarean section hyposmolality and/or hyponatremia extreme immaturity, 750-999 grams neonatal jaundice associated with preterm delivery 27-28 completed weeks of gestation septicemia [sepsis] of newborn other and unspecified atelectasis other transitory neonatal electrolyte disturbances interstitial emphysema and related conditions congenital neutropenia other acidosis of newborn fetal growth retardation, unspecified, 750-999 grams 

Answer: The patient is high likely exposed to