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 was born at 40 and 2/7 weeks to a 37-year-old gravida 3 (now para 2) mom by spontaneous vaginal delivery with apgar scores of 8 at one minute and 9 at five minutes. her birth weight was 3235 grams (7 pounds 2 ounces). prenatal screens: blood type o positive, antibody negative, rubella nonimmune, rpr nonreactive, hepatitis b surface antigen negative, group b strep status unknown. antepartum course: her pregnancy was complicated by a 1:15 risk for trisomy 21 on the triple screen. an amniocentesis was declined. shortly after delivery infant was noted to have some features that could be consistent with trisomy 21. the baby was initially admitted to the newborn nursery. on day of life 1 the infant was noted to appear dusky with feedings necessitating transfer to the neonatal intensive care unit for further evaluation. physical examination: on admission to the newborn nursery the baby was quietly alert. her birth weight was 3235 grams (7 pounds 2 ounces), her length was 48.5 cm (19 inches) and head circumference was 33.5 cm; all in the 50th percentile. the anterior fontanel was soft and flat with overriding sutures. cataracts were noted in both eyes, the right greater than the left. the palate was intact. chest was symmetric. breath sounds were clear and equal. her heart rate was regular with no murmur, and femoral pulses were 2+ bilaterally. the abdomen was benign without hepatosplenomegaly. a small umbilical hernia was noted. neurologically, she had globally decreased tone but moved all extremities; and reflexes were symmetric. hospital course: 1. respiratory: breath sounds clear and equal with o2 saturations in room air of 89% to 93%. the borderline room air saturations and duskiness with feedings were likely secondary to elevated pulmonary right ventricular pressures. 2. cardiovascular: examined to have a regular rate and rhythm, no murmur noted, and 2+ femoral pulses bilaterally. the infant has not had an audible murmur, but the risk for trisomy 21 merited an evaluation for congenital heart disease. the infant failed her hyperoxia test, and a cardiac echo revealed a small secundum asd, av-type vsd, small pda, and elevated rv pressures. cardiology followup is recommended in the first week of with dr. at . 3. fluids, electrolytes and nutrition: she is tolerating ad lib feedings of expressed breast milk or enfamil 20. her weight on the day of discharge is 3270 gm 4. infectious disease: since mom was rubella nonimmune, a rubella titer was sent on the baby, and results are pending. 5. gastrointestinal: her bilirubin on was 10.7/0.2/10.5; with a subsequent bilirubin on , that was 10.5/0.5/10.5., repaet bilirubin on was 8.6. 6. neurology: the baby has had an overall decreased tone consistent with down syndrome. the baby moves all extremities, and reflexes are symmetric. 7. genetics: a genetics' consult was obtained. chromosomes with fish results confirming trisomy 21. results of thyroid studies on newborn screening are pending. followup will be through the down syndrome clinic at . 8. sensory: 1. audiology: hearing screening was performed with automated brain stem responses. the baby passed the hearing screens bilaterally on . 9. ophthalmology: an ophthalmology consult was obtained for the bilateral congenital cataracts, right greater than left. outpatient followup was recommended as soon as possible after discharge. 1. family: mom is and portuguese-speaking. she is appropriately upset. there is a 15-year-old sibling at home. 1. psychosocial: social work is involved with the family. the can be contact at (. condition on discharge: stable. discharge disposition: home. pediatrician: , , ; dr at phone (. appointment is for thursday at 9:30 am. care recommendations: 1. ad lib feed of breast milk or enfamil 20. 2. no medications. 3. car seat position screening not needed. 4. state newborn screening sent ; results pending. 5. immunizations given: hepatitis b vaccine given , . immunizations recommended: 1. synagis rsv prophylaxis should be considered from through for infants who meet any of the following 3 criteria: 1) born at less than 32 weeks; 2) born between 32 and 35 weeks with 2 of the following: daycare during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities or school-age siblings; or 3) with chronic lung disease. 1. 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 scheduled: 1; , , ; phone (, fax (. 2. clinic at ; contact person ; (. 3. clinic; dr. at , -4; wednesday, at 13:00. interpreter will be there. please call at ( if appointment needs to be changed. 4. genetics: dr. ; phone ( on at 10:00 am at 2.. 5. cardiology: dr. at on at 1:30pm at 2. 6. vna to be determined. 7. early intervention to be determined or identified. discharge diagnoses: 1. term average for gestational age female. 2. trisomy 21. 3. bilateral congenital cataracts. 4. heart disease. , dictated by: medquist36 d: 12:29:36 t: 15:17:25 job#: procedure: prophylactic administration of vaccine against other diseases diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis single liveborn, born in hospital, delivered without mention of cesarean section patent ductus arteriosus other specified conditions originating in the perinatal period ventricular septal defect ostium secundum type atrial septal defect umbilical hernia without mention of obstruction or gangrene down's syndrome congenital cataract, unspecified 

Answer: The patient is high likely exposed to