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 the 1st born of twin gestation born at 37-3/7-weeks gestation to a 42-year- old g4, p0 woman. prenatal screens: blood type b-negative, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative, group b strep negative. the mother's history is significant for depression. her obstetrical history is notable for 2 spontaneous abortions and 1 ectopic pregnancy. this pregnancy was achieved by in- fertilization initially triplets reduced to twins at 11 weeks of gestation. a subsequent amniocentesis revealed chromosomes on this twin to be 46 xxx. extensive prenatal counseling was done. the mother was followed closely for cervical shortening. she was delivered by cesarean section under spinal anesthesia. this twin #1 emerged with spontaneous respirations and cry. apgars were 9 at 1 minute and 9 at 5 minutes. due to her notable small for gestational age status and growth restriction, she was admitted to the neonatal intensive care unit for further care. physical exam upon admission to the neonatal intensive care unit: weight 1.75 kilograms (less than the 10th percentile), length 44 cm (10th percentile), head circumference 31 cm (10th percentile). general: nondysmorphic, nondistressed infant in room air, pink, well perfused, and alert. head, eyes, ears, nose, throat: head: noticeably larger than body. fontanels: open and flat. positive red reflex bilaterally. palate: intact. neck: without masses. chest: equal breath sounds. cardiovascular: regular rate and rhythm, no murmur. pulses: normal. perfusion: normal. abdomen: no masses, no hepatosplenomegaly. gu: normal female. anus: normal. musculoskeletal: spine intact. normal sacrum. hips: stable. moving all extremities. skin: no lesions. neuro: active, alert, vigorous tone. hospital course by systems including pertinent laboratory data: 1. respiratory: has been in room air for her entire neonatal intensive care unit admission. her oxygen saturations are consistently over 95%. at the time of discharge, she is breathing comfortably in room air with a respiratory rate of 30-40 breaths per minute. 2. cardiovascular: has maintained normal heart rates and blood pressures. no murmurs have been noted. baseline heart rate is 130-150 beats per minute with a recent blood pressure of 85/49 mmhg with a mean arterial pressure of 60 mmhg. 3. fluid, electrolytes, and nutrition: initial glucose was 42. was treated with intravenous 10% dextrose fluids and enteral feeds started. the intravenous was discontinued on day of life #2. at the time of discharge, she is taking breast milk fortified to 24 calories per ounce with neosure powder or neosure formula fortified to 24 calories per ounce. she takes approximately of her volume p.o. with the rest by gavage. weight on the day of discharge is 1.665 kilograms. serum electrolytes were checked at 24 hours of life and were within normal limits. 4. infectious disease: no issues. 5. gastrointestinal: peak serum bilirubin was noted on day of life 3, total of 7.7 mg per deciliter. repeat serum bilirubin on day of life 4 was a total of 7.1 mg per deciliter. she was not treated with phototherapy. 6. hematological: is blood type o-positive, direct antibody test negative. 7. neurological: has maintained a normal neurological exam during admission. 8. genetics: the parents were counseled prenatally by dr. from the genetics and metabolism service at . repeat karyotype on the baby's peripheral blood was felt to be unneccessary as the euploidy was seen in all cells of the prenatal study. 9. sensory: audiology: hearing screening is recommended prior to discharge. 10. psychosocial: parents have been very involved with care. they have done extensive research on the internet about xxx syndrome and are well informed and optimistic about future. condition at discharge: good. discharge disposition: transfer to hospital for continuing level ii care. the primary pediatrician is dr. . care and recommendations at the time of discharge: 1. feeding: 120 ml per kilogram per day of neosure 24 calories per ounce formula or breast milk fortified to 24 calories per ounce with neosure powder. the neosure is recommended until 6-9 months of corrected age. 2. no medications. 3. car seat position screening is recommended prior to discharge. 4. state newborn screen was sent on with no notification of abnormal results to date. 5. no immunizations administered thus far. 6. immunizations recommended: 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 32-35 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. influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age. before this age and for the 1st 24 months of the child's life, immunization against influenza is recommended for household contacts and out-of-home caregivers. 7. follow-up appointments: genetics at date and time to be determined. discharge diagnoses: 1. prematurity at 37-3/7-weeks gestation. 2. twin #1 of twin gestation. 3. intrauterine growth restriction. 4. small for gestational age. 5. forty-six xxx chromosomal abnormality. , procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances diagnoses: twin birth, mate liveborn, born in hospital, delivered by cesarean section primary apnea of newborn neonatal bradycardia other preterm infants, 1,750-1,999 grams "light-for-dates" without mention of fetal malnutrition, 1,750- 1,999 grams 37 or more completed weeks of gestation other conditions due to sex chromosome anomalies 

Answer: The patient is high likely exposed to