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: the pregnancy was notable for a normal first trimester ultrasound, normal afp, and negative cystic fibrosis screen. edc was . the mother has a history of hypertension, although blood pressures performed during pregnancy were normal and there was no sign of pih. there was an episode of preterm labor at 33 weeks, which resolved with magnesium. the mother was also evaluated during pregnancy due to a family history of marfan's syndrome. an echocardiogram was performed and was normal with no evidence of aortic root abnormalities. the mother received rhogam at 28 weeks gestation. the mother also has a history of cardiac palpitations with no clear etiology, as well as asthma for which she was treated with advair and proventil during pregnancy. the mother presented with spontaneous labor. rupture of membranes was greater than 24 hours, and there was a maternal fever of 102. the mother received antibiotics for two hours prior to delivery. the infant emerged and required several minutes of positive pressure ventilation due to poor respiratory effort. she then had persistent respiratory distress. in addition, several dysmorphic features were noted in the delivery room. apgar scores were four at one minute and eight at five minutes. the infant was admitted to the newborn intensive care unit for respiratory distress and evaluation of dysmorphic features. physical examination on admission: vital signs: temperature 101.8, heart rate 180, blood pressure 63/43, respiratory rate 68. general: active infant with mild respiratory distress. heent: dysmorphic facies, notable for hypertelorism, slanting palpebral fissures, sloping forehead, and flat occiput. nasal bridge was also flat with tented nostrils. neck: supple. chest: lungs clear to auscultation. cardiovascular: regular rate and rhythm, normal s1, s2, no murmurs. normal pulses. abdomen: soft, nontender, no organomegaly. genitourinary: normal female genitalia. extremities: warm and well perfused. neurologic: increased tone and clenched hands in the upper extremities, normal tone in the lower extremities. hospital course: a. respiratory: the infant had initial tachypnea which resolved without therapy. her respiratory remained stable after the first few hours of life. b. cardiovascular: the infant has been hemodynamically stable without evidence of structural heart disease. a fetal echocardiogram was performed at 26 weeks which showed a structurally normal heart and no further cardiac evaluation was done. c. fluids, electrolytes, and nutrition: the infant was initially started on iv fluids; however, after a few hours of life when her respiratory status improved, she was started on oral feedings. she has been taking between 15 and 30 cc per feed. her oral motor skills appear adequate, however, close attention to feeding will need to be continued. d. gastrointestinal: the infant has mild facial jaundice today, day of life number one. if the jaundice worsens then a bilirubin should be sent. e. hematology: the infant had an initial cbc with a white count of 22, hematocrit 50%, platelets 408,000 with a benign differential. f. infectious disease: the infant had risk factors for sepsis including maternal fever of 102 and rupture of membranes greater than 24 hours. the mother was gbs negative and was treated with two hours of intrapartum antibiotic prophylaxis. the infant, however, did not show any signs of sepsis and had a benign cbc. antibiotics will be continued for 48 hours until the result of the blood culture is available and can be discontinued at that time. g. genetics: the genetics service was consulted given concerns about dysmorphism. the genetics consultant suggested the possible diagnosis of -hirschborn syndrome. a karyotype and fish for 4p minus were sent and the results should be available at the beginning of next week. she also underwent further evaluation given the question of genetic syndrome including, head mri normal, renal ultrasound normal, upper gi to rule out malrotation normal, ophthalmologic examination normal, and head ultrasound normal. if the patient is discharged prior to the genetic testing results being available, then the patient should follow-up in the clinic next week. the attending from genetics is dr. . h. neurologic/sensory: as mentioned above, the head mri was normal. a full ophthalmologic examination was performed and was normal as well. the infant does have increased tone in the upper extremities which will need to be followed. i. disposition: the infant is being transferred to the newborn nursery. condition on discharge: good. discharge disposition: transfer to the newborn nursery. primary pediatrician: dr. , pediatrics, , phone number . dr. would like a faxed copy of the discharge summary, her fax number is . care/recommendations: the infant will need her hepatitis b vaccine prior to discharge, close monitoring of her oral intake should be continued in the newborn nursery. if there are concerns about her intake, then a visiting nurse referral and early follow-up with her primary care pediatrician should be considered. discharge diagnosis: 1. respiratory distress, resolved. 2. rule out sepsis. 3. dysmorphic features, rule out genetic disorder. , m.d. dictated by: medquist36 d: 03:47 t: 18:40 job#: cc: procedure: parenteral infusion of concentrated nutritional substances non-invasive mechanical ventilation prophylactic administration of vaccine against other diseases diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition single liveborn, born in hospital, delivered without mention of cesarean section observation for suspected genetic or metabolic condition transitory tachypnea of newborn 

Answer: The patient is high likely exposed to