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 boy was a 3675-gram product of 38 plus week gestation born to a 32-year-old gravida 4, para 1 (now 2) mom with prenatal screens including o positive, antibody negative, rapid plasma reagin nonreactive, rubella immune, hepatitis b surface antigen negative, and group b strep positive. early prenatal ultrasound showed nuchal thickening by report. the parents declined amniocentesis but were aware of the possibility of trisomy 21. the infant delivered spontaneously. mom was group b strep positive, but no fever or other sepsis risk factors during intrapartum. antibiotics given greater than four hours prior to delivery. apgar scores were 7 at one minute and 9 at five minutes. the infant was brought to the newborn intensive care unit for a sepsis evaluation and noted to have an oxygen saturation in the low 90s on room air which then drifted to the mid 80s and remained there. oxygen via nasal cannula was started. physical examination on presentation: physical examination on admission revealed a birth weight of 3675 grams, length 51 cm, head circumference was 32.5 cm. the infant was active and appropriate. anterior fontanel was open and flat. mild hypertonia. no distress. dysmorphisms consistent with trisomy 21 including small upslanted palpebral fissures with epicanthal folds, flattened occiput, small low-set ears, partial single palmar creases. lungs were clear to the apex. heart was regular in rate and rhythm and without murmurs. the abdomen was soft and without masses or hepatosplenomegaly. the hips were stable. genitourinary examination was appropriate for gestational age. extremities were well perfused. hospital course by issue/system: 1. respiratory issues: was initially placed on nasal cannula oxygen to support oxygenation of greater than 95%. he weaned off nasal cannula oxygen on day of life two, but he did have two episodes of desaturation requiring blow-by oxygen while sleeping on day of life three. he subsequently maintained oxygenation in room air and passed his car seat test. 2. cardiovascular system: no issues. an echocardiogram was performed on with no structural anomalies, small patent foramen ovale, moderate patent ductus arteriosus. 3. fluids/electrolytes/nutrition issues: birth weight was 3675 grams, current weight is 3585 grams. the infant is ad lib breast feeding, taking some bottled expressed milk, and now gaining weight. his blood sugars have been within normal limits. 4. hematologic issues: hematocrit on admission was 58. complete blood count unremarkable. 5. infectious disease issues: a complete blood count and blood culture were obtained. complete blood count was normal, and blood culture remained negative at 48 hours so antibiotics were discontinued. 6. genetic issues: chromosomes were obtained, and the karyotype was 47xy +21. the infant is being followed by the down syndrome program at (telephone number ). 7. audiology issues: a hearing screen was performed and automated auditory brain stem responses, and the infant was referred in both ears. further screening will be on at 8:00 am at , . 8. psychosocial issues: a social worker has been involved with the family and can be contact at telephone number . 9. circumcision performed by dr am. condition at discharge: condition on discharge was stable. discharge status: discharged to home with parents. primary pediatrician: name of primary pediatrician is dr. (telephone number ). care recommendations/instructions/followup: 1. feeding: continue ad lib breast feeding. 2. medications: not applicable. 3. car seat position screening: passed . 4. state newborn screens have been spent per protocol. 5. immunizations received: hepatitis b vaccine, . 6. follow-up appointment with the down syndrome program, early intervention, and genetics. 7. routine circumcision care. discharge diagnoses: 1. term infant with trisomy 21. 2. status post sepsis evaluation. 3. transitional respiratory distress. 4. status post circumcision. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances circumcision diagnoses: observation for suspected infectious condition single liveborn, born in hospital, delivered without mention of cesarean section routine or ritual circumcision transitory tachypnea of newborn down's syndrome 

Answer: The patient is high likely exposed to