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: past medical history: notable for type 1 class r diabetes mellitus diagnosed early in childhood complicated with retinopathy status post laser therapy on insulin pump. a1c on was 7.1. hashimoto thyroiditis (on levothyroxine). prenatal screens: a-positive, direct coombs negative, hepatitis surface antigen negative, rpr nonreactive, rubella immune, gbs negative. antenatal history: this pregnancy was complicated by insulin- dependent diabetes mellitus and by fetal echocardiogram showing possible mild coarctation manifested in a mild flow disturbance in isthmus. follow-up echocardiogram showed very mild acceleration of isthmus, level of valve with a possible membranous vsd. quadruple screen was normal. underwent elective repeat cesarean section by spinal anesthesia. ruptured membranes occurred at delivery yielding clear amniotic fluid. there was no intrapartum fever or other clinical evidence of chorioamnionitis. neonatal course: infant was vigorous at delivery. apgars were 8 at 1 and 9 at 5 minutes. physical exam on admission: weight was 4.72 kilograms, head circumference was 36.25 cm, length was 20 inches. infant was a well-appearing macrosomic infant in no distress. blood pressures were within normal limits. anterior fontanel is soft and flat, nondysmorphic. palate intact. neck and mouth: normal. normocephalic. no nasal flaring. red reflexes normal bilaterally. cardiovascular: without retractions. good breath sounds bilaterally. no adventitious sounds. cardiovascular: well perfused, regular rate and rhythm. femoral pulses normal. s1, s2 normal, no murmur. abdomen is soft, nondistended, no organomegaly, no masses. bowel sounds active. anus patent. three-vessel umbilical cord. gu: normal female genitalia. cns: active, alert, responds to stimulation. tone normal and symmetric. moves all extremities symmetrically. suck, root, and gag intact. face is symmetric. integumentary: normal. musculoskeletal: normal spine, hip, limbs, clavicles. history of hospital course by systems: respiratory: was admitted to the newborn intensive care unit and did not require any supplemental oxygen. she remains stable in room air. initially had some desaturations with feedings which improved with maturity. cardiovascularly: echocardiogram was performed on day of admission. echocardiogram revealed moderate pda, pfo, no coarctation in the setting of a pda, no vsd. infant was monitored with q.12 hour 4 extremity bps all within normal limits, and chest x-ray was within normal limits. cardiology recommended sending infant to the newborn nursery and providing normal newborn care with cardiology follow-up in 2 weeks. fluid and electrolyte: birth weight was 4.72 kilograms. discharge weight was 4.495 kilograms. infant has been ad-lib breastfeeding with supplementation of similac 20 calorie taking in adequate amounts. she has been euglycemic since admission. infectious disease: no sepsis risk factors were identified, and no investigations were performed. neurology: infant has been appropriate for gestational age. sensory: hearing screen has not yet been performed, but should be done prior to discharge. psychosocial: family is invested and involved. condition at discharge: stable. discharge disposition: newborn nursery. name of primary pediatrician: reported as dr. . care and recommendations: continue ad-lib breastfeeding with supplementation. medications: not applicable. state newborn screen: has been sent per protocol. immunizations: infant has not received immunizations to date. , md procedure: prophylactic administration of vaccine against other diseases diagnoses: single liveborn, born in hospital, delivered by cesarean section need for prophylactic vaccination and inoculation against viral hepatitis patent ductus arteriosus exceptionally large baby ostium secundum type atrial septal defect 

Answer: The patient is high likely exposed to