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 a former 1.98 kilogram product of a 35 and week gestation pregnancy born to a 21-year-old g-2, p-0, woman. ob history was notable for 1 therapeutic abortion. prenatal screens were blood type a positive, antibody negative, rubella immune, rpr nonreactive, hepatitis b surface antigen negative and group beta strep status positive, positive human papilloma virus with normal pap smears. the mother's medical history is notable for insulin dependent diabetes type 1 since age 9. during pregnancy, she had poor control. prenatal care was initiated from 20 weeks. she was hospitalized with diabetic ketoacidosis on . there was concern for intrauterine growth restriction with decreased amniotic fluid volume for the fetus. also noted was a left ventriculomegaly on ultrasound that was confirmed by fetal mri. the mother was taken to cesarean section due to fetal heart rate decelerations and concern for decreased amniotic fluid volume. the infant emerged with good tone and respirations, needed blow by oxygen. apgar 8 at 1 minute and 9 at 5 minutes. he was admitted to the neonatal intensive care unit for respiratory distress. physical examination: upon admission to the neonatal intensive care unit, weight 1.98 kilograms 25th to 50th percentile, length 44 cm 25th to 50 percentile, head circumference 31.5 cm 25th to 50th percentile. general: alert, pink infant with oxygen saturations 94% to 96% in room air. a very noticeable skin tag present on the right cheek in addition to a preauricular skin tag also on the right. head, ears, eyes, nose and throat: anterior fontanelle soft and flat, sutures opposed. eyes deep set with a broad nasal bridge. positive red reflex bilaterally. right skin cheek tag and right preauricular skin tag as previously noted. palate normal and intact. chest: clear and equal breath sounds, intermittent mild grunting. cardiovascular: regular rate and rhythm, normal s1, s2, normal pulses and perfusion. abdomen soft, nondistended, nontender, 3 vessel cord. gu: normal male, testes descended bilaterally. spine: small skin tag noted in the sacral area. spine appears straight. hips stable. neurologic: normal cry, strength, tone and movement. hospital course: by systems including pertinent laboratory data: 1. respiratory: was in room air from admission to the neonatal intensive care unit. the mild respiratory distress was felt to be transitional, resulted in a few hours after birth. he did have an arterial blood gas in room air on day of life 7 that was a ph of 7.41, pco2 of 40, a po2 of 44. he has not had any episodes of spontaneous apnea or bradycardia. at the time of transfer, he is in room air with oxygen saturations greater than 95%, respiratory rate of 40 to 80 breaths per minute. a chest x-ray was notable for rib anomalies, normal heart size, in situs and normal lung fields. 1. cardiovascular: a murmur was heard on day of life #1 and due to the other congenital anomalies, a cardiac consult was obtained. the cardiac consult from recommended an echocardiogram which showed 3 muscular vsds, right ventricular hypertension, a pfo, an asd and a moderate pda. an ekg was also notable for left ventricular strain. cardiology consultation recommended reconsultation prior to discharge to arrange outpatient follow-up. he developed some respireaotyr distress on which was determined to be pulmonary edema. he was treated with lasix for 3 days. all of his respiratory symptoms abated and he had no further episodes. at the time of discharge, he had an audible harsh murmur at the left sternal border, baseline heart rate of 140 to 160 beats per minute, a recent blood pressure of 66/32 mmhg with a mean of 44 mmhg. 1. fluids, electrolytes and nutrition: was initially npo and maintained on intravenous fluids. initial blood glucoses were 55 and 48 and responded to infusion of d10w. enteral feeds were started on day of life #2 and gradually advanced to full volume. at the time of discharge, he is on 150 cc/kg/day of neosure 24 calorie per ounce formula. he has poor p.o. intake. weight on day of life #10, , was 2.12 kilograms. serum electrolytes were checked in the first week of life and were within normal limits. he became transiently hypochloremic (cl of 87)with the lasix. this resoloved with the discontinuation of the lasix. his most recent electrolytes were na 142 k 5.7 (hemolyzed) cl 106 co2 25 bun 14 cr 0.4. 1. infectious disease: due to the unknown etiology of the initial respiratory distress and unknown group beta strep status of the mother, was evaluated for sepsis upon admission to the neonatal intensive care unit. a complete blood count was within normal limits. a blood culture was obtained and was no growth at 48 hours. he was not treated with systemic antibiotics. on day of life 5, purulent eye drainage was noted. after an eye exam on , he was diagnosed with bilateral blocked tear ducts. a 5 day course of erythromycin was started and it was completed on . he was treated the three doses of ampicillin around his hernia repair as prophalaxys because of his heart conditions. 1. hematological: hematocrit at birth was 39.6%. did not receive any transfusions of blood products. his most recent labs were hct 31.6 pt 10.9 tpp 31 inr 0.9 and plt 498. 1. gastrointestinal: required treatment for unconjugated hyperbilirubinemia with phototherapy. peak serum bilirubin occurred on day of life 4, and totaled 12.2 mg/deciliter. he received approximately 48 to 72 hours of phototherapy. rebound bilirubin most recently was on , and was a total of 5.8 mg/deciliter. he developed a left inguinal hernia during the hospitalization. he had a hernia repair on . he recovered from the procedure without incident. 1. neurological: a head ultrasound was performed on , and showed asymmetric ventricles, left greater than right, and a small choroid cyst. a spinal ultrasound was also performed at that time due to the present skin tag and revealed a tethered cord with a fatty thylam and a hypoplastic sacrum. spinal x-rays showed sacral dysgenesis of the lumbar segmentation and question also of cervical and thoracic abnormalities. neurosurgery was consulted and will be followed by dr. from in the myelodysplastic clinic, follow-up to be at 3 months of age. there will be further ct and mri studies done that will be coordinated through that clinic in the future. orthopedics was also consulted and follow-up will be through the multidisciplinary myelodysplastic clinic. he had a repeat hus on which showed a persistent small choroid plexus cyst but assymetric ventricles had resolved. 1. genetics: due to the constellation of physical findings and abnormalities, the genetics team was consulted through . serum chromosomes were sent. there is a preliminary suggestive diagnosis of goldenhar syndrome. genetics follow-up will also be coordinated through the myelodysplastic clinic at . his karyotype is 46 xy. gu: he was circumcised prior to discharge. it is well healed. 1. sensory: hearing screening was passed prior to discharge. 1. ophthalmology: an ophthalmological exam was performed on , and was within normal limits except for the blocked tear ducts as previously noted. 1. psychosocial: this is a single mom and the father of the baby is not involved. she has been vigilant in visiting the baby here after her discharge from the hospital. she has been taking the train from on a daily basis. condition on discharge: stable. discharge disposition: to home the primary pediatrician is dr. , pediatrics, , , . phone number , fax number . care and recommendations: at the time of discharge: 1. feeding: 150 ml/kg/day of neosure 24 calorie per ounce ad lib. the neosure formula is recommended until 6 to 9 months of corrected age. 2. car seat position screening is recommended prior to discharge. 3. state newborn screen was sent on , with no notification of abnormal results to date. 4. he will need sbe prophalyxis prior to any surgical or dental procedures because of his heart lesions. 5. immunizations: he received his hep b vaccine on . 6. immunizations recommended: synagis rsv prophylaxis should be considered from through for infants who meet any of the following 3 criteria: first born at less than 32 weeks; second, born between 32 and 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 thirdly with chronic lung disease. 7. influenza immunization is recommended annually in the fall for all infants once they reach 6 months of age. before this age and for the first 24 months of the child's life, immunization against influenza is recommended for household contacts and out of home caregivers.. follow up: appointments recommended: 1. appointment with primary pediatrician within 3-5 days of discharge. 2. pediatric cardiology through . there is a satellite cardiology clinic in where follow- up can be arranged. a call to arrange outpatient follow- up is recommended prior to discharge. 3. clinic with dr. at age 3 months. the phone number for scheduling is . of note, medical record number is . 4. he will need to follow up with genetics at 4-6 months of age. 5. he will need to follow up with plastic surgery dr. phone . discharge diagnoses: 1. prematurity at 35 and 6/7 weeks gestation. 2. suspicion for sepsis ruled out. 3. infant of an insulin dependent diabetic. 4. skin tags on the right ear, right cheek and sacrum. 5. unconjugated hyperbilirubinemia. 6. cardiac murmur secondary to multiple ventricular septal defects. 7. tethered cord with fatty and hypoplastic sacrum. 8. suspicion for a congenital genetic disorder. 9. congeintial heart disease (asd's, vsd's) 10. left inguinal hernia s/p repair 11. pulmonary edema (resolved) , md procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances other phototherapy prophylactic administration of vaccine against other diseases circumcision unilateral repair of inguinal hernia, not otherwise specified diagnoses: congestive heart failure, unspecified single liveborn, born in hospital, delivered by cesarean section need for prophylactic vaccination and inoculation against viral hepatitis observation for suspected infectious condition neonatal jaundice associated with preterm delivery patent ductus arteriosus other specified conditions originating in the perinatal period other specified congenital anomalies of heart observation for suspected genetic or metabolic condition 35-36 completed weeks of gestation other respiratory problems after birth other preterm infants, 1,750-1,999 grams "light-for-dates" without mention of fetal malnutrition, 1,750- 1,999 grams ventricular septal defect routine or ritual circumcision ostium secundum type atrial septal defect inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified (not specified as recurrent) other anomalies of spine specified congenital anomalies of lacrimal passages other specified anomalies of skin other specified congenital anomalies of brain accessory auricle other anomalies of ribs and sternum other specified congenital anomalies of spinal cord 

Answer: The patient is high likely exposed to