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: baby is a 3485 gram boy, born at 36 and 0/7 weeks gestation (estimated date of delivery to a 37 year old, gravida iii, para 0 to 1 mother. prenatal screen: maternal blood type 0 positive; antibody negative; rpr nonreactive; rubella immune; hepatitis b surface antigen negative; gbs positive but treated with multiple doses of antibiotics prior to delivery with rupture of membranes 18 hours prior to delivery. maternal history: notable for two prior spontaneous abortions. she was seen by genetics, dr. at and found to have normal 46xx chromosomes and her husband, , had normal male 46xy chromosomes. the pregnancy was complicated by the prenatal diagnosis of agenesis of the corpus callosum at approximately 18 weeks gestational age. no other significant abnormalities were noted. amniocentesis performed revealed a normal 46xy karyotype. the parents received genetics counseling at the genetics clinic with additional work-up including ultrasound and magnetic resonance scan imaging, without identification of any other anomalies. the family also met with of , , department of neurology. the baby was delivered by cesarean section for nonreassuring fetal heart rate tracing. at delivery, additional dysmorphisms were noted as detailed below. the infant was bulb suctioned, dried and taken to the neonatal intensive care unit for further evaluation. physical examination: initial physical examination was notable for weight of 3,485 grams; head circumference 35.5 cm and length 55.5 cm (all greater than the 90th percentile). examination was notable for clinical findings including syndactyly, brachycephaly, prominent eyes which were down sloping, hypertelorism. other features included a curved nose and depressed nasal bridge. the fontanels were open as were the sagittal sutures but coronal sutures appeared fused. this resulted in a short anteroposterior diameter with high full forehead and flat occiput. there was a narrow high arched palate and thin, elongated nasal passages. red reflex was present bilaterally. lungs are clear bilaterally with no grunting, flaring or retractions. the heart examination showed regular rate and rhythm without murmur. abdomen was soft with active bowel sounds, no masses or distention. hips were stable. spine was midline with no of hair or dimples. extremity examination revealed bilateral fusion on the right of four fingers and the left middle three fingers. single palmar creases were noted. the toes were fused with discrete nails noted. the thumbs and great toes were wide and medially rotated. the anus was patent. overall, these features were felt to be consistent with apert syndrome. hospital course: 1. respiratory: the baby initially saturated in the high 90's to 100% in room air without any respiratory distress. however, there were periods of what appeared to be nasal congestion, resulting in desaturation to the high 80's in room air. to prevent these intermittent desaturations, the patient has been maintained in nasal cannula of minimal flow, approximately 13 cc per minute of 100% fractional inspired oxygen. with this minimal respiratory support, his oxygen saturations have been maintained in the high 90's. in the 12 hours before this interim summary dictation, the patient has been saturating greater than 94% in room air without nasal cannula. we suspect that these mild desaturations are due to choanal stenosis or other narrowing of the nasal passages. consistent with this, it has been difficult to pass the nasogastric tubes through either nare. 2. cardiovascular: the patient has remained hemodynamically stable and without murmur. because of his other anomalies, an echocardiogram was performed on his first day of life, which showed normal cardiac situs, a patent foramen ovale with left to right flow, normal systemic and pulmonary venous connections, mild tricuspid regurgitation, good biventricular function, right ventricular hypertension, normal for age, a small patent ductus arteriosus with continuous left to right flow; no coarctation; no significant additional structural abnormalities. 3. fluids, electrolytes and nutrition: the patient was initially attempted on ad lib p.o. with a minimum but was found to be unable to take sufficient p.o. intake and his feeds have been supplemented by gavage feedings. his difficulty in taking p.o. intake appears related both to his high arch palate as well as his presumed choanal stenosis. a number of different bottle nipples were trialed with some success noted on the date of this dictation with the "pigeon" nipple. , rn from the craniofacial clinic has been assisting with attempting to find the best method of p.o. feedings. at the time of this dictation, the baby was receiving 120 cc per kg per day of pumped breast milk or enfamil 20 by combined p.o. and o.g. feeds, as well as being put to breast with fair success. at the time of this interim summary, his weight was 3220 grams. 4. gastrointestinal: maternal blood type is 0 positive; baby's blood type unknown. bilirubin was 11.1 when he was three days old and 8.7 when he was 7 days old, without any use of phototherapy. 5. hematology: no active issues. 6. infectious disease: no active issues. mother was gbs positive but treated adequately with antibiotics. no sepsis evaluation. 7. neurology: ct of the brain was performed on his third day of life which confirmed agenesis of the callosum, but which did not show megaencephaly which is occasionally seen with apert syndrome. bone windows on ct scan confirmed coronal craniosynostosis. dr. from the neurology service at , , will be meeting with the family and neonatology team to discuss when a magnetic resonance scan of the brain can be done. there has been no evidence of any seizure activity. 8. ophthalmology: because of the apert syndrome, ophthalmology was consulted and saw the patient when he was four days old. their initial evaluation suggested bilateral optic nerves which were on the smaller side and were planned to follow-up with a repeat examination as well as future visual function testing with dr. . 9. genetics: the baby's features are consistent with apert syndrome, a sporadically occurring autosomal dominant disorder associated with mutations of the fgf-r2 gene located on chromosome 10 to 25-26. umbilical cord blood was sent to hospital for fgf-r2 axon 8 which has a 99% sensitivity for apert's syndrome. a skeletal survey was performed on the patient's first day of life, which confirmed bilateral hand digit two through four syndactyl and absence of the distal phalanges, as well as bilateral clubbed foot and syndactyl. no vertebral or rib abnormalities were noted. the parents met with dr. again in the neonatal intensive care unit. a renal ultrasound was done on which showed no abnormalities. 10. orthopedics: there is bilateral hand and foot syndactyly. the parents met with dr. from the plastics/hand surgery service. the parents will follow-up with dr. as an outpatient. 11. routine health care maintenance: newborn state screen was sent on . automated auditory hearing screen was performed on and was normal. more detailed audiology testing with a diagnostic auditory brainstem response with specific frequency testing is planned for the future. hepatitis b immunization have been ordered but not yet administered. primary pediatrician: dr. , . other specialty service physicians who will be following include: 1. craniofacial surgery, dr. with , r.n., . 2. neurosurgery, dr. , . 3. neurology, dr. , . 4. genetics, dr. , . 5. plastic surgery/hand surgery, dr. , . 6. ophthalmology, dr. , . no follow-up appointments have been scheduled as outpatient at this time. discharge diagnoses: 1. prematurity at 36 and 0/7 weeks. 2. apert's syndrome. 3. bilateral hand and foot syndactyly. 4. difficulty feeding. , m.d. dictated by: medquist36 procedure: enteral infusion of concentrated nutritional substances prophylactic administration of vaccine against other diseases circumcision diagnoses: single liveborn, born in hospital, delivered by cesarean section need for prophylactic vaccination and inoculation against viral hepatitis 35-36 completed weeks of gestation other preterm infants, 2,500 grams and over routine or ritual circumcision unspecified congenital anomaly of brain, spinal cord, and nervous system unspecified congenital anomaly of heart acrocephalosyndactyly 

Answer: The patient is high likely exposed to