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: is a former 2.88 kilogram product of a 34 and week gestation pregnancy born to a 39 year-old g4 p2 now 3 woman. prenatal screens, blood type a positive, antibody negative, hepatitis b surface antigen negative, rubella immune, rpr nonreactive, group beta strep status unknown. the obstetrical history was significant for a prior delivery of 34 week twins. there was a fetal demise of one of the twins. this pregnancy occurred in . this pregnancy was uncomplicated until spontaneous rupture of membranes and onset of preterm labor on the day of delivery. was born by spontaneous vaginal delivery. he emerged with poor tone and apnea in the delivery room. he required positive pressure ventilation. intubation was attempted for persistent poor respiratory effort, but was discontinued with improvement in respiratory effort. he was given blow by oxygen and transferred to the newborn intensive care unit. other past significant maternal history includes polycystic ovarian disease, chronic depression, attention deficit disorder and chronic herpes simplex virus infection with the last outbreak in . physical examination: upon admission to the neonatal intensive care unit, weight 2.88 kilograms 90th percentile, length 47 cm 90th percentile, head circumference 34 cm also 90th percentile. head, eyes, ears, nose and throat, anterior fontanel open and flat, very small chin, low set and posteriorly rotated ears, soft cleft palate, small cleft at the upper gum line, lip has the appearance of an interrupted cleft as well. neck with a mass in the upper brachio- cephalic area. chest mild retractions. fair air exchange. heart regular rate and rhythm. no murmur. peripheral pulses equal. abdomen soft. no masses palpable. liver 1 cm below the costal margin. active bowel sounds. three vessel cord. gu normal external male genitalia, testes palpable. spine straight, normal sacrum. hips stable. neurological poor tone, inverted u with ventral suspension. deep tendon reflexes in the lower extremities normal. no clonus elicited. hospital course: 1. respiratory. was initially on nasal cannula o2. with worsening respiratory effort, he was placed on continuous positive airway pressure. his work of breathing and respiratory effort improved and he was transitioned to room air on day of life number 2. he has remained in baseline room air for the rest of his neonatal intensive care unit admission. he had episodes of oxygen desaturation and developed stridor at 2 weeks of life. he was evaluated by the otorhinolaryngology service, attending dr. . a bedside flexible laryngoscopic exam raised concern for laryngeomalacia. he underwent a rigid bronchoscopy under general anesthesia at , which was normal. it was felt at this time that his large tongue and small airway were the etiology for his stridor and episodes of oxygen desaturation. with the other facial findings a consultation with dr. , plastic surgeon from , was obtained. it was dr. opinion that had all the clinical features of branchio-oculo-facial syndrome--a very rare genetic disorder characterized by the incomplete cleft of the lip and palate and the other craniofacial abnormalities. was successfully managed in the prone position without further episodes of serious desaturation. at the time of discharge, he is able to be in any position either prone or supine without episodes of desaturation. he passed a car seat test on . his baseline respiratory rate is 30 to 50 breaths per minute. he does develop stridor with feeds, which persist for a short time after the feeding. in between feedings his breath sounds are clear and equal and he does not have any evidence of respiratory distress. is slated to have surgical repair of his facial anomalies with dr. in or . he is being discharged home with an oximeter for use while sleeping to ensure that he has no significant desaturations. 2. cardiovascular. due to the other abnormal clinical findings, had a screening electrocardiogram and echocardiogram. all results were within normal limits and the echocardiogram did not show any structural heart disease. baseline heart rate is 100 to 160 beats per minute with a recent blood pressure of 93/66 with a mean of 74. 3. fluids, electrolytes and nutrition. was initially npo and maintained on intravenous fluids. enteral feedings were started on day of life number 2 and gradually advanced. he had inconsistent success with po feedings even when different nipples and feeding devices were tried. his most consistent success was with a habermann feeder. due to the concern of ' inconsistent feeding ability, the decision was made to place a gastrostomy feeding tube. a surgically placed gastrostomy tube was placed at on by dr. . the gastrostomy tube began leaking approximately 4 days postoperatively. he was diagnosed with a cellulitis at the site. he was made npo and treated with a week of intravenous kefzol. the enteral feeds were started again on and has been predominantly po feeding with some additional intake through the gastrostomy tube without any problem since that time. he is being discharged home on mother's breast milk fortified to 24 calories per ounce 4 calories/oz by enfamil powder. weight on the day of discharge is 3.92 kilograms with a corresponding head circumference of 36.5 cm and a length of 54 cm. serum electrolytes were checked at numerous junctures and all were within normal limits. 4. infectious disease. had a complete blood count and blood culture drawn on admission to the neonatal intensive care unit. the blood count was within normal limits. the blood culture was no growth at 48 hours. received 48 hours of ampicillin and gentamicin during the pending blood culture. as previously noted had a cellulitis at the gastrostomy tube insertion site and was treated with a week of kefzol. blood culture obtained at that time was also no growth. has had intermittent problems with eye drainage as part of his syndrome. he has a blocked tear duct on the right. in the past, with development of conjunctivitis, he has been treated with erythromycin, garamicin and polymixin. currently the blocked duct is being treated with lacrimal massage and his mother has ciprofloxacin by ointment to treat on an as needed basis, if he develops evidence of conjunctivitis. 5. hematological. ' blood type a positive, coombs negative, hematocrit at birth was 57.6%. he did not receive any transfusions of blood products. his most recent hematocrit was on at 28.9%. he is being discharged home on supplemental iron. 6. gastrointestinal. required treatment for unconjugated hyperbilirubinemia with phototherapy. peak serum bilirubin occurred on day of life number 5, total 11.7/0.4 mg per deciliter direct. as noted he has a gastrostomy tube placed. 7. genetics. as part of his workup for the abnormal physical findings, was evaluated by the genetic consult service at . he will be followed by dr. at 4 months of age. chromosomes were normal showing a normal karyotype. he also had a signature chip chromosome study sent with results that remain pending. there were extensive metabolic studies drawn with all results within normal limits. 8. neurological. was also evaluated by the neurology service at . as time progressed, his tone improved. he will be followed in the neonatal neurology program at after discharge. head ultrasound on was normal. an mri performed on was also normal. skull films were obtained as part of the workup and also were normal. 9. sensory. audiology hearing screening was performed with automated auditory responses. passed in the left ear and referred in the right ear. he was retested on and again referred in the right ear. he is being referred to for further audiological evaluation. ophthalmology--as part of his work up for the abnormal physical findings, had an ophthalmological exam on . his eyes are structurally normal. he has intermittent problems with the blocked tear ducts and will be treated on an as needed basis with antibiotic opthalmic ointment. 10. psycho/social. social work has been involved with this family. the contact person is and she can be reached at . condition on discharge: good. discharge disposition: home with the parents. primary pediatrician: dr. , pediatric associates, , , . phone number . fax number . care and recommendations at discharge: 1. feeding, ad lib po with a minimum of 130 cc per kilo per day of breast milk fortified to 24 calories with enfamil powder. if unable to take oral feedings, gastrostomy feedings to supplement to a minimum of 130 cc per kilo per day. 2. medications. ferrous sulfate 25 mg per ml dilution 0.4 ml po once daily. tri-vi- or other vitamin e, d, c supplement, 1 ml po once daily. 3. car seat position screening was performed. was observed in his car seat for 90 minutes without any episodes of oxygen desaturation or bradycardia. 4. state newborn screens were sent on . results within normal limits. 5. immunizations received, hepatitis b vaccine was administered on . pediarix was administered on . injectable polio vaccine on . prevnar on . synagis was administered on and . 6. immunizations recommended, synagis rsv prophylaxis should be considered from through for infants who meet any of the following 3 criteria. first born at less than 32 weeks, second born between 32 and 35 weeks with 2 of the following, day care during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings; or thirdly with chronic lung disease. 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 care givers. 7. follow up appointment scheduled, dr. within 3 days of discharge. dr. plastic surgery , phone number one month after discharge. clinical genetics dr. at at age 4 months. feeding team at 4 weeks after discharge or as needed. neonatal neurology at dr. . phone number for neonatal neurology clinic . discharge diagnoses: 1. branchio-oculo-facial syndrome. 2. prematurity at 34 and 3/7 weeks gestation. 3. suspicion for sepsis ruled out. 4. cleft lip and palate. 5. rule out hearing loss in the right ear. 6. blocked tear ducts. 7. status post unstable airway. 8. status post gastrostomy. 9. status post circumcision. 10. status post rigid bronchoscopy. 11. conjunctivitis, treated. 12. hyperbilirubinemia, treated. , procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances diagnoses: infection and inflammatory reaction due to other internal prosthetic device, implant, and graft neonatal conjunctivitis and dacryocystitis specified congenital anomalies of lacrimal passages other anomalies of larynx, trachea, and bronchus anomalies of skull and face bones branchial cleft sinus or fistula other congenital anomalies of tongue 

Answer: The patient is high likely exposed to