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: was the 900 gram product of a 26 and 6/7 weeks twin gestation born to a 39- year-old g3, p1, now 3 mother. prenatal included blood type o positive, antibody negative, hepatitis b surface antigen negative, rpr nonreactive, rubella immune, and gbs positive. pregnancy notable for clomid assisted iui twin gestation, reduced from quadruplets at 12 weeks. the mother was admitted to the hospital at approximately 24 weeks with preterm labor and vaginal bleeding and was treated with magnesium sulfate and betamethasone at that time, completing betamethasone course on . she was maintained on bed rest and magnesium sulfate since that time. on the evening of delivery, the mother developed progressive labor, cervical dilatation and vaginal spotting and was taken for cesarean section secondary to breech presentation of twin b. no fever was noted. membranes were intact at the time of delivery and mother did not receive intrapartum antibiotic prophylaxis. this infant emerged from breech position with decreased tone and respiratory effort, improving rapidly with drying, stimulation and blow-by oxygen. apgar scores were 6 and 8. he was brought to the newborn intensive care unit with oxygen. physical examination: weight 900 grams, 25th to 50th percentile; head circumference 25.5 cm, 50th percentile; length 34.5 cm, 25th to 50th percentile. an active premature infant with overall appearance consistent with estimated gestational age in moderate respiratory distress at rest. skin warm and pink. no rashes. fontanel somewhat large but soft, sutures appropriate. palate intact. eyes open. nares and ears patent. chest coarse breath sounds. poor to moderate aeration. positive grunting, flaring and retracting. cardiac regular rate and rhythm without murmurs. abdomen soft. no hepatosplenomegaly, 3-vessel cord. no mass. quiet bowel sounds. gu: normal male. testes not palpable. anus patent. extremities warm and well perfused. back normal. neurologic grossly normal tone and activity for gestational age. summary of hospital course by systems: respiratory: the infant was intubated for management of respiratory distress syndrome. he received a total of 3 doses of surfactant. his maximum ventilator support was 25/7 with a rate of 30. he remained ventilated for a total of 46 days at which time he transitioned to cpap. he remained on cpap for a total of 17 days at which time he transitioned to nasal cannula oxygen. he remains today on nasal cannula oxygen of 250 ml at 100% oxygen for management of his chronic lung disease. his medications include diuril 78 mg b.i.d., aldactone 11 mg b.i.d. he was treated for apnea of prematurity with caffeine citrate which was discontinued on . the infant was seen by pulmonary, dr. , from and will be following up with him as an outpatient. cardiovascular: the infant received 3 courses of indomethacin for treatment of patent ductus arteriosus, that was unsuccessful in closing the pda. on , the infant had pda ligation. most recent echocardiogram on demonstrated no right ventricular hypertension. the right ventricle was mildly dilated but normal in function. fluids, electrolytes and nutrition: birth weight was 900 grams, discharge weight was 4245 grams. the infant was initially started on 100 ml per kg per day of d10w. enteral feedings were initiated and he achieved full enteral feedings on . maximum enteral calories was breast milk or premature enfamil 32 calories/ounce with promod. he is currently receiving enfamil 30 calories per ounce concentrated by 6 calories of enfamil powder and 4 calories of vegetable oil to support his weight gain needs. his most recent set of electrolytes were on . sodium was 134, potassium 5.9 (hemolyzed), chloride 99, total co2 26. his medications include potassium chloride of 4 meq 3 times a day in light of diuretic therapy. gastrointestinal: his peak bilirubin early in his hospital course was 6.6/0.2. his bilirubin issues have resolved. was scheduled for hernia repair on . on examination we were unable to appreciate hernias. ultrasound revealed left testis in the scrotum, right testis high in the inguinal canal. there was a small to moderate left hydrocele. no frank hernias but able to appreciate bowel at upper inlets of the inguinal rings. dr. , surgeon who was on this case, is aware of the previous ultrasound findings and has scheduled an outpatient appointment with the family on . hematology: blood type is o positive, coombs negative. he received a total of 5 packed red blood cell transfusions, his last being on . his most recent hematocrit was on of 32.2 with a reticulocyte count of 1.7%. the infant is on fer-in- supplementation. infectious disease: initially cbc and blood culture were obtained on admission. cbc and blood culture remain negative. antibiotics of ampicillin and gentamycin were discontinued after 48 hours. on , the infant was started on vancomycin and gentamycin for a total of 7 days for clinical decompensation with a concerning cbc. his lumbar puncture at that time was within normal limits. on , the infant once again had a respiratory decompensation and was treated for a total of 7 days with vancomycin, gentamycin, cefotaxime for presumed pneumonia. on , nursing noted a bump on his left wrist. this was aspirated and the culture grew staph aureus which was oxacillin resistant. he was initially treated for 13 days with vancomycin which was then extended to a total of 24 days after a second nodule was noted on on his left pinky. infectious disease was consulted and their recommendation was to treat for a total of 24 days. xrays of his left hand were within normal limits with no bony deformations. the infant is mrsa colonized and has been since . he has remained on contact precautions. the family is aware of this. neurology: head ultrasounds were performed, the most recent being on , and all head ultrasound findings were within normal limits. sensory: hearing screen was performed using automated auditory brain stem responses and the infant passed. ophthalmology: initial eye exams revealed rop stage i zone 3 bilaterally. follow up exams revealed resolving rop the most recent on revealed mature retinal vessels. follow up examination was recommended in 6 months with dr. ; her telephone no. . psychosocial: a social worker has been involved with this family. the contact social worker is . she can be reached at . condition on discharge: stable. discharge disposition: to home. name of primary pediatrician: dr. . telephone no. . care recommendations after discharge: 1. feedings - continue ad lib feeding enfamil 30 calorie per ounce to support weight gain needs. 2. medications: 1. diuril 78 mg b.i.d. 2. aldactone 11 mg daily. 3. potassium chloride supplements 4 meq 3 times a day. 4. ferrous sulfate 0.6 ml once daily. 3. car seat position screening was performed and the infant passed. 4. state newborn screens have been sent per protocol and have been within normal limits. 5. immunizations received: the infant received pediarix, prevnar, and hib on , , and on . he also received synagis on . recommend immunizations: 1. 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. 3. with chronic lung disease. 2. influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age. before this age and for the first 24 months of the child's life, immunization against influenza is recommended for household contacts and out of home caregivers. follow up appointments: 1. surgery on , with dr. at . his telephone number is . 2. pulmonary on with , telephone number . beeper number . 3. ophthalmology at 6 months with dr. , telephone number . 4. dr. , pediatrician, on . 5. early intervention program referral made. 6. vna daily for 3 weeks. 7. infant follow up clinic referral has been made. discharge diagnosis: 1. premature infant born at 26 and 6/7 weeks gestation, now 46 weeks. 2. respiratory distress syndrome. 3. presumed sepsis, treated. 4. pneumonia, treated. 5. chronic lung disease. 6. patent ductus arteriosus status post pda ligation. 7. hyperbilirubinemia, treated. 8. left hydrocele. 9. anemia of prematurity. 10. staph aureus sepsis, treated. 11. apnea of prematurity, resolved. 12. mrsa colonization. , procedure: venous catheterization, not elsewhere classified 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 enteral infusion of concentrated nutritional substances other bronchoscopy non-invasive mechanical ventilation arterial catheterization other phototherapy prophylactic administration of vaccine against other diseases transfusion of packed cells umbilical vein catheterization other surgical occlusion of vessels, thoracic vessels circumcision diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis infection with microorganisms resistant to penicillins twin birth, mate liveborn, born in hospital, delivered by cesarean section extreme immaturity, 750-999 grams respiratory distress syndrome in newborn neonatal jaundice associated with preterm delivery chronic respiratory disease arising in the perinatal period patent ductus arteriosus anemia of prematurity retrolental fibroplasia routine or ritual circumcision septicemia [sepsis] of newborn 25-26 completed weeks of gestation breech delivery and extraction affecting fetus or newborn cellulitis and abscess of hand, except fingers and thumb late metabolic acidosis of newborn congenital hydrocele congenital pneumonia intraventricular hemorrhage, grade ii sebaceous cyst 

Answer: The patient is high likely exposed to