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: 1. asthma, treated with albuterol and fluticasone. 2. gastroesophageal reflux, treated with protonix. 3. anemia (evaluated in ) consistent with iron deficiency plus dilutional due to volume expansion in pregnancy. a maternal methylmalonic level was done on . the results were 203 (normal range is 87 to 318). rationale for obtaining this test is not known; but may be related to anemia complications. 4. question history of thalassemia. no further history. 5. past history of depression not requiring medications. medical record note: on , mother was positive for hepatitis b and hepatitis a but negative for hepatitis d. maternal records indicate all tests always normal in past and during this pregnancy. pregnancy records during this pregnancy document hepatitis b negative and no comment regarding hepatitis a. prenatal labs: blood type o+, aba negative, hepatitis b negative, rubella immune, rpr nonreactive. family history: negative for thalassemia, negative for other disorders, italian background. this pregnancy was notable for dichorionic tri amniotic triplets. triplets one and two shared same placenta (and they were both smaller than triplet three); triplet three had its own placenta (and was the largest of the three). of note triplet one noted to have a two vessel umbilical vessel. no fetal anomalies noted on fetal ultrasound. due to the concern growth of triplet one and two with estimated fetal weight of triplet one of 1835 gm, which is less than the 10th percentile and triplet two was 1717 gm, less than 10th percentile, c section was performed. no maternal id risk factors at the time of delivery. triplet boy had apgar's of 8 and 9. infant admitted to nicu for a late preterm infant care. infant also had, as noted, two vessel cord in delivery room. the baby was admitted initially for evaluation of cardiac status and for thermoregulation concerns. physical examination at discharge: current weight is gm, still less than 10th percentile. head circumference 31.0 cm, less than 10th percentile. length 43 cm, still less than 10th percentile. respiratory efforts in room air. breath sounds are clear. cv: pink tetralogy of fallot. loud audible murmur. grade . pulse is palpable 2+/4. infant pink and well perfused. head, ears, eyes, nose, and throat: anterior fontanel is open and soft. abdomen: positive bowel sounds, no hepatosplenomegaly. neuro: active on exam with good tone. infant with two vessel cord. hospital course by system: 1. respiratory: the infant has been in room air since birth without distress and without apnea of prematurity. 2. cardiac: the infant is diagnosed as pink tetralogy of fallot with an echocardiogram on . our report summary states tetralogy of fallot, large anterior malalignment ventriculoseptal defect with bidirectional flow, moderate secundum atrial septal defect with bidirectional flow, mild subvalvar and valvar pulmonary stenosis, hypoplastic main pulmonary artery, good sized branch pulmonary arteries, qualitatively good biventricular function, distal left anterior descending coronary artery not well seen, and a small muscular ventricular septal defect not completely excluded. the infant also had a chest x-ray on which was consistent with a boot-shaped heart. ekg on was nonspecific t wave changes. infant has been hemodynamically stable throughout infant. the infant will be followed by cardiology one week after discharge. heart rates have been 130 to 140, regular rate and rhythm, with a blood pressure of 64/40 with a mean of 48. o2 saturation checks have been >95%. parents were given teaching on what to watch for for "tet spells" and will contact their cardiologist with any further questions. 3. fluids, electrolytes and nutrition: weight once again is gm, less than 10th percentile. head circumference is 31 cm, around 10th percentile. length was 43 cm, which was less than 10th percentile. the infant has been all p.o. feeds since birth, full caloric feeds reached on day of life 9 of enfacare 26 with corn oil. renal ultrasound was also performed due to two vessel cord on which was on day of life seven, which was read as normal with small amount of intraperitoneal fluid which was read as benign, and kidneys were normal. 4. gi: maximum bilirubin on day of life five with 11.3/0.3, which was treated with photo therapy. photo therapy was discontinued on day of life six with a bilirubin of 7.7/0.3 and a rebound bilirubin of 6.9/0.3 performed on day of life 8. lfts were also performed on day of life eight, per a cardiology request: alt of 7, ast of 25, and an alk phos of 321. 1. hematology: infant has not received blood transfusion. the patient's blood type was not done. 2. infectious disease: infant did not have risk factors for infection. infection did not receive infectious evaluation. 3. neurology: the infant does not meet criteria for head ultrasound. 4. audiology: hearing screen was performed with auditory brain stem responses. result: passed. 5. ophthalmology: the infant does not meet criteria for eye exam. 6. thermoregulation - the baby required assistance with isolette but has demonstrated good control over the past several days in a crib. 7. psychosocial: b.i.d. mc social worker involved with family. the contact social worker can be reached at . condition at discharge: stable. discharge disposition: home with parents. primary pediatrician: , md. the phone number is . follow up is scheduled in 2 days. discharge plan and recommendations: feeds at discharge: ad lib feeds of enfacare 26 calorie with corn oil made with enfacare 24, which is concentrated and 2 cal/ounce of corn oil. discharge weight 2035gm. cardiology follow up: dr. , pager id # 6155. appointment - friday at 3pm in cardiology clinic medications: ferrous sulfate which comes in a bottle of 25 mg/1ml. the infant is receiving 0.2 ml daily which is 5 mg daily which comes out to be 2.6 mg/kg/dose, iron and vitamin d supplementation: 1. iron supplementation is recommended for preterm and low birth weight infants until 12 months corrected age. 2. all infants feed predominantly breast milk should receive vitamin d supplementation at 200 international units (may be provided as a multivitamin preparation) until 12 months corrected age. car seat position screen: the infant had passed. newborn screen: newborn screening has been performed per protocol. first one sent on day of life three and read as blank. repeat sent on day of life 14, . results are pending. immunizations received: infant has received hepatitis b vaccine on day of life nine, which was . immunizations recommended: 1. synagis rsv prophylaxis should be considered for through for infants who meet of the following four criterias: 2. infants born at less than 32 weeks. 3. born between 32 and 35 weeks with two of the following: day care during rc season, a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings. 4. chronic lung disease. 5. hemodynamically significant congenital heart disease. 6. influenza immunization is recommended annually in the fall for all infants once they reach six months of age. for this age (and for the first 24 months of the child's life) immunization against influenza is recommended for household contacts and at home care givers. 7. this infant has not received rotavirus vaccine. the american academy of pediatrics recommends an initial vaccination of preterm infants at/or following discharge from the hospitals that are clinically stable and at least six weeks or fewer than twelve weeks of age. follow- up appointment scheduled and recommended. follow-up appointment with dr. 48 hours after discharge, cardiologist, dr. one week after discharge, and as of note, parents have been informed regarding tetralogy of fallot type cells by cardiologist. discharge diagnosis: 1. late preterm infant triplet #1. 2. two vessel umbilical cord. 3. tetralogy of fallot. , procedure: other phototherapy prophylactic administration of vaccine against other diseases diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis tetralogy of fallot neonatal jaundice associated with preterm delivery 35-36 completed weeks of gestation other preterm infants, 1,500-1,749 grams other multiple birth (three or more), mates all liveborn, born in hospital, delivered by cesarean section 

Answer: The patient is high likely exposed to