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: mother has a history of depression and a suicide attempt in , with a tylenol overdose. she also has been treated for her depression throughout the pregnancy with zoloft 50 mg daily. father was diagnosed with spina bifida at birth and treated surgically at in as an infant. also of significant in the medical history was a paternal niece with the diagnosis of a congenital heart disease who died at 9 years of age. pregnancy: the pregnancy was uncomplicated until 1 week prior to the baby's birth, when mother was noted to have increased amniotic fluid. she had prior to this had a fetal ultrasound at 19-20 weeks that was unremarkable. one week prior to delivery, increase in amniotic fluid was noted and fetal abdominal ascites was also diagnosed. transfer to did not occur until , in the evening. ultrasound performed here revealed isolated neonatal ascites, severe polyhydramnios with an afi of 41, and a limited view of the heart with 4 was also noted, and a very limited view of the kidneys was also reported. no pleural or pericardial effusions were noted. the baby had a reactive fetal heart tracing, with biophysical profile of . the mother was treated with betamethasone 48 hours prior to delivery. physical examination: admission vital signs were temperature 96.4, heart rate 130, respiratory rate 42, blood pressure 85/51 with a mean of 64. on admission, the baby was aga for 30 weeks gestation. heent - anterior fontanel was soft and flat. face is non dysmorphic. palate appeared intact on a limited look. respiratory - breath sounds were coarse, equal, on ventilator. cardiovascular system - s1 and s2 were normal intensity, no murmur noted. perfusion was appropriate. abdomen - was remarkable for initially being taut and distended. after paracentesis, it was soft, nontender appearing. kidneys were easily palpable, and liver appeared to be large. genitourinary tract had bilateral hernias, testes were felt to be probably palpable, and hydroceles were present. neurologic examination - he was noted to be hypotonic in the delivery room. he had symmetrical movements of his extremities. spontaneous respirations were noted at approximately 20 minutes of life. delivery and neonatal course: delivery was prompted by worsening fetal ascites and some spontaneous fetal heart rate decelerations. delivery was by cesarean section with epidural anesthesia. the amniotic fluid was noted to be abundant and yellow in appearance. there was a question of potential abnormal smell to the fluid noted by the obstetrician, but this was not noted by our team with the baby. the baby emerged with initially good tone and some respiratory effort, but no audible cry and no air movement into the lungs on auscultation. the baby then became bradycardic and with no respiratory effort. bag and mask ventilation was ineffective with no air movement achieved. intubation was attempted with 3.0, then 2.5, then 2.0. cords were easily visualized. however, there was obstruction to passage of the endotracheal tube beyond approximately 1 cm. chest compressions were initiated. bag and mask ventilation were continued, with placement of a uvc and treatment with epinephrine, ultimately 4 doses, and a volume of 20 ml/kg of normal saline and 4 meq of sodium bicarbonate. the baby was then intubated with an 8.0 suction catheter successfully and bag and mask ventilation was initiated with good improvement of heart rate and auscultation of breath sounds. two attempts at abdominal paracentesis were made without removal of any fluid in the delivery room. no bleeding was noted with the tap. orl was consulted urgently from and arrived. further attempts to intubate with a 2.5 tube were unsuccessful by orl. a 2.0 tube was then ultimately successfully placed. apgar scores were 2 at 1 minute, 2 at 5 minutes 3 at 10 minutes 3 at 15 minutes at 5 at 20 minutes. venous blood gas in the delivery room prior to intubation with a 2.0 tube was 6.92, 200 and 52. followup gas on admission to the nicu was 6.92, 91, 161. this was again a venous blood gas. abdominal paracentesis was performed on admission to the neonatal intensive care unit, and approximately 50 ml of serosanguineous fluid were removed. the baby was placed on high frequency ventilator on admission to the newborn icu, and demonstrated some improvement with oxygenation, with weaning from 100 percent down to 38 percent. followup blood gases showed improvement, with arterial blood gas of 7.28, 55, 62. labs: cbc - white blood cell count 5,300, 22 polys, 1 band, 68 lymphs, 9 monos, 15 nucleated red blood cells. hematocrit 51.6 percent, platelets 208,000. d stick - 104-112. liver function tests, pt, ptt, fibrinogen pending. maternal viral studies were sent on night - cmv, parvovirus and toxoplasmosis. peritoneal fluid sent for cell count, culture, chemistry, parvovirus, cmv and toxoplasmosis. abdominal films revealed centrally located bowel loops, nondistended appearance of the intestine. there was no evidence of calcification or increased echogenicity. air appeared to have moved more distally on follow up kubs. lungs revealed extremely dense, white lungs with air bronchograms. uvc, uac and endotracheal tube were in good position. the tube was low and this was pulled back. the second film on a pressure of 26 did reveal hyperinflation. mean airway pressure was weaned, and on a mean airway pressure of 20, lung volumes appeared to be within normal limits. settings at the time of transfer were fio2 38 percent, amp of 64 and mean airway pressure of 20. urgent consultation of orl, as noted, occurred in the delivery room, and they arrived within 25 minutes of life. the baby was also consulted by pediatric surgery. after discussion, the plan was to transfer baby to for further diagnostic evaluation and evaluation of the airway in the or in the next day or 2 by orl. parents were updated on baby's extremely critical condition and consented to transfer to . in summary, diagnoses are: 1. prematurity at 30 weeks gestation. 2. neonatal ascites. etiology is not certain at this point. differential diagnosis includes: primary liver disease, bowel obstruction, gastrointestinal abnormalities, urinary ascites, congenital infection with parvovirus, cmv, toxoplasmosis or hepatitis, underlying cardiac disease. 3. airway abnormality. there appears to be either stenosis or external compression of the upper trachea. further evaluation by orl will be performed intraoperatively in the next 2 days. 4. severe surfactant deficiency/respiratory distress syndrome. 5. rule out sepsis. 6. perinatal depression secondary to respiratory depression resulting from abnormal airway. the baby was transferred to for further care. dr. will be the accepting 7 north attending. the baby will be on the medical service, with consultations by surgery and orl. plan is for an abdominal, cranial ultrasound and echocardiogram in the next day. , dictated by: medquist36 d: 21:32:56 t: 23:38:16 job#: procedure: insertion of endotracheal tube percutaneous abdominal drainage umbilical vein catheterization diagnoses: single liveborn, born in hospital, delivered by cesarean section observation for suspected infectious condition respiratory distress syndrome in newborn other preterm infants, 1,750-1,999 grams 29-30 completed weeks of gestation hydrops fetalis not due to isoimmunization 

Answer: The patient is high likely exposed to