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: the patient is a 39 and 1/7 weeks gestational age infant transferred to the nicu at the request of dr. , for a consultation regarding hypotonia and dysmorphic features. maternal history: a 32 year old gravida iii, para i, now ii, woman with past obstetrical history notable for spontaneous abortion in , and spontaneous vaginal delivery at 41 weeks in , a son alive and well. past medical history: noncontributory. family history: noncontributory. prenatal screens: o positive, antibody negative, rpr nonreactive, rubella immune, hepatitis b surface antigen negative, gbs negative, triple screen charted as "normal". pregnancy history: last menstrual period , for estimated date of confinement , estimated gestational age 39 and 1/7 weeks. eighteen week ultrasound normal and consistent with dates. mother complained of decreased fetal movement throughout pregnancy. a 34.6 week ultrasound showed reduced fetal movement but normal amniotic fluid volume and umbilical flow. pregnancy otherwise uncomplicated. repeat cesarean section under epidural anesthesia. no maternal intrapartum fever or fetal tachycardia. rupture of membranes at delivery yielding clear amniotic fluid. neonatal course: nicu not in attendance at delivery. apgar eight at one minute and nine at five minutes. no resuscitative interventions by report. nicu consultation requested given antenatal findings and postnatal physical findings. physical examination: saturation 92% in 21% fio2. blood pressure 68/38, mean 51, heart rate 145, respiratory rate 38, temperature 95.9, birth weight 3350 grams. anterior fontanelle soft, open, flat. epicanthal folds, redundant nuchal folds, no macroglossia, palate intact. no nasal flaring. chest - no retractions, good breath sounds bilaterally and no crackles. cardiovascular - well perfused, regular rate and rhythm, femoral pulses normal. s1 and s2 normal, no murmur. the abdomen is soft, nondistended, thin umbilical cord, no organomegaly, no masses, bowel sounds active, anus patent. genitourinary normal penis, left testis undescended, right testis descended. central nervous system - responsive to stimuli, tone decreased, generalized. moving all limbs symmetrically. suck/roof/gag/grasp/moro normal. integument normal. musculoskeletal - bilateral single palmar creases, short digits. spine, hips, clavicles are normal. hospital course: 1. cardiovascular - a cardiac evaluation and a cardiac consult was performed due to an initial oxygen requirement, comfortable tachypnea, and an enlarged cardiothymic silouette. four extremity blood pressures were within normal limits, an ekg was normal for age, a hyperoxia challenge revealed a pao2 of 273. a cardiac consult was obtained and an echocardiogram was performed. the echocardiogram revealed patent foramen ovale, small patent ductus arteriosus, right ventricular hypertension, qualitatively good biventricular systolic function and very small inferior pericardial effusion. the cardiology service would like to see baby in 1 month in the cardiology clinic. at that time a repeat echocardiogram will be done to ensure closure of the pda and evaluate pulmonary pressures. 2. respiratory - the patient initially required oxygen at approximately 300cc flow with approximately 30 to 60% fio2. the oxygen requirement was due to central hypotonia, shallow respirations and bilateral lobe atelectasis. there was probably also mild increased pulmonary pressures early in his course that partly contributed to the oxygen requirment. his respirations and chest excursion steadily improved and on day of life six, he transitioned to low flow nasal cannula. on day of life nine he transitioned to room air where he currently remains. he has had no apnea and/or bradycardia episodes. 3. fen - the patient briefly required intravenous fluids but promptly advanced to full enteral feeds which he tolerated without difficulty. he is currently po ad lib with enfamil 20 (with fe). birthweight 3350 gms, l 20.25 in, hc 33.5 cm. discharge weight 3335 gms, l 56 cm, hc 34.5 cm. 4. hematology - the patient initial complete blood count showed a white blood cell count of 19.0 with a differential of 79 polys, 5 bands and 14 lymphocytes. his hematocrit was 63.0, and his platelet count was 234,000. he had mild physiologic hyperbilirubinemia with a bilirubin of 11.6 on day of life four which clinically improved. he never needed phototherapy. 5. infectious disease - no issues. 6. genetics - given the constellation of admission physical findings, a cytogenetics evaluation was sent. the analysis revealed trisomy 21. of the 11 lymphocytes that were studied, all had trisomy 21, therefore showing no to minimal mosaicism. to further evaluate the degree of mosaicism, we have requested that the cytogenetics lab evaluate a greater number of cells (closer to 30). results are pending. the family was referred to the down syndrome clinic at and dr. . they have already met with dr. . finally, the family has expressed interest in genetic counseling to determine risk of trisomy 21 in future children. this should be done throught the genetics service at . the general genetics team met with the family prior to discharge to discuss counseling and future testing. 7. social - the parents were very attentive and involved in his care throughout his hospitalization. our staff attempted in as much as we could to answer all their questions and concerns. we also recruited the help of the down syndrome clinic at and had mother meet and speak on the telephone on several occasions with and dr. on . 8. sensory - audiology - hearing screening was performed as automated auditory brain stem responses. the patient's hearing was referred and he will need further testing at a later date with audiology at . 9. psychosocial - social work was involved with the family. the contact social worker is and she can be reached at . condition on discharge: good. discharge disposition: to home. primary care pediatrician: dr. , medical center. telephone number . fax . care and recommendations: 1. feeds at discharge - enfamil 20 p.o. ad lib. 2. medications - none. 3. car seat position screening - passed. 4. state newborn screening status - sent per protocol with no notification of abnormal results. 5. immunizations received - hepatitis b vaccination . 6. follow-up appointments (parents to arrange specific appointment date and times): a. pediatrician - dr. , . b. genetics/down syndrome clinic/dr. - in 1 month, telephone . c. cardiology - in 1 month, telephone . d. audiology - ( 11), telephone . e. early intervention program (eip) - family support eip, telephone . f. vna - vna, telephone . fax . discharge diagnoses: 1. trisomy 21. 2. respiratory distress and oxygen requirement, resolved. 3. patent ductus arteriosus. 4. referred hearing screen. ,m.d. dictated by: medquist36 procedure: enteral infusion of concentrated nutritional substances prophylactic administration of vaccine against other diseases diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition patent ductus arteriosus ostium secundum type atrial septal defect undescended testis down's syndrome other hypothermia of newborn jaundice, unspecified, not of newborn 

Answer: The patient is high likely exposed to