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: polycystic ovarian disease, depression, attention deficit disorder, hsv with last outbreak 2/. past obstetric history: includes 34 week twins with one fetal demise. the other twin spent 2 weeks in the nicu. maternal medications: welbutrin, zoloft, terazodone, several herbal supplements. delivery course: the infant emerged with poor tone and respiratory effort. he was given positive pressure ventilation. intubation was attempted for persistent poor respiratory effort and was discontinued with improvement of work of breathing. he was given blow-by oxygen and transferred to the newborn intensive care unit for further evaluation. physical examination: weight was 2.88 kg, greater than the 90th percentile. length 47 cm. head 34 cm, also 90th percentile. heent: anterior fontanel open and flat, soft cleft palate, small cleft at the upper gums, small chin, low set ears. posteriorly rotated. neck with linear red mark, appears to be an abrasion. heart: regular rhythm, no murmur. pulse is equal. lungs: mild retractions. air exchange is fair to good bilaterally. abdomen is soft, no masses palpable. liver 1 cm below the costal margin. active bowel sounds. three vessel cord clamped. normal external male genitalia. testes palpable. neurology: poor tone. almost inverted u with ventral suspension. deep tendon reflexes lower extremities is normal. difficult to elicit upper extremities. no clonus. hospital course: respiratory: initially was placed in nasal cannula, liter flow, and was then placed on nasal prong c-pap for poor respiratory effort. he required up to 24% oxygen to maintain sats greater than 90%. he had an arterial hyperoxia gas which showed a ph of 7.20, 63, 244 for a pa02, 26 for bicarbonate and -4 for base deficit. he weaned from prong c-pap of 5 cm on day of life 1 and then was placed in room air subsequent to that. he continues in room air. he has been noted to have occasional drift in his oxygen saturations and had a mild pectus noted on examination as well. he breathes comfortably, 30 to 50 in room air. he continues to have desaturations, mostly with sucking and feeding. he develops stridor with feeds at about 2 and 1/2 weeks of age and continues with stridor. due to stridor, he was evaluated by the otolaryngology service at on . they performed a flexible scope at the bedside. this revealed moderate laryngomalacia and floppy arytenoid tissue. he started on zantac at that time, which was and has continued on zantac 3 mg/kg twice a day with some improvement noted but continues to have stridor, mostly noted with feedings. addendum by (): infant had bronchoscopy at today. dr. (orl attending) reported that airway from subglottic area to carina appeared normal, epiglottis and aryepiglottic folds were not redundant, and that tongue appeared to be the reason for infant's intermittent upper airway obstruction. dr. and were contact by dr. to consider tongue-lip adhesion procedure. dr. and ms this evening of . we will try positioning infant prone with head slightly down and modify nipple with nasal trumpet extending beyond tip of nipple to see if each of these procedures will help reduce desaturation and airway obstructive episodes. addendum by ): infant remains in room air, still has stridor especially with feeds. prone positioning during and appears to have helped. cardiovascular: was hemodynamically stable with blood pressure means 50s to 80s, means 40s to 50s. his ap ranged from 130s to 160s. he had no murmur. due to concern for dysmorphic features, an echocardiogram was performed and cardiology service . he had an electrocardiogram which was normal for age. he had an echocardiogram which revealed normal anatomy. fluids, electrolytes and nutrition: was maintained n.p.o. until respiratory stability was developed. he had intravenous fluids of d-10-w. he had maintenance electrolytes added and his serum electrolytes were followed and noted to be in the normal range. he started enteral feeds on day of life 2 and advanced 15 ml/kg twice a day as tolerated. he reached full enteral feeds by day of life 7 with breast milk or premature enfamil 20 calorie per ounce. he was offered p.o. feedings at about 1 week of age which he had difficulty with coordinating his suck, swallow, breathing. due to feeding difficulties and the soft cleft palate, he had a consult with the craniofacial team at , dr. and , rn. they were concerned with his cleft palate, his dysmorphic features with the small chin, the broad nasal bridge with the bifid nose and low set ears and question of thymic tissue neck. the facial and neck tissue were consistent with branchio-oral facial syndrome or bofs. skull films were normal. genetics was as well. several studies were obtained that will be described in further detail. a feeding team evaluation was also obtained after several attempts at different types of nipples have not worked well for . his mother has had some success with breast feeding and he seems to be comfortable breathing at the breast. he has been fed with the pigeon nipple per the craniofacial teams recommendation and later switched to the feeder per the feeding team recommendation with good success. currently is taking 150 cc/kg/day breast milk 24 cal/oz (concentrated with 4 cal of enfamil powder). due to persistent poor tolerance and ability to po feed, infant will have gastrostomy tube placed at on . gastrointestinal: has been noted to pass normal meconium transitional and infant stools. they have been guaiac negative. he was treated for physiologic jaundice with a peak bilirubin of 17.8 over 0.4 on day of life 3. he continued on phototherapy until day of life 6 and a rebound bilirubin was 9.1 over 0.2 on day of life 8. this issue has been resolved. hematologic: initially had a cbc and blood culture obtained upon admission with a white count of 16.8, 48 polys and 1 band, a hematocrit of 57.6 and a platelet count of 195,000. he received 48 hours of ampicillin and gentamycin and had negative blood cultures. he has remained clinically well off of antibiotics. he was started on tri-vi- on day of life 17 and continues on that at this time. l eye drainage + for staph species: conjunctivitis, rx'd with polymcin ophthalmic oint. improved, marked decreased drainage. neurologic: due to concern for hypotonic neurologic examination, some posturing and tremors noted, a neurology consult was obtained upon admission, in addition to the genetics consult aforementioned. metabolic investigations included liver function tests, serum amino acids, lactate, pyruvate, a karyotype, urine for amino or organic acids, liver function tests. his liver function tests were normal. serum amino acids, lactate and pyruvate were normal. his organic acids were normal save for increased 4-hydroxy phenylacetate and 4-hydroxy phenylpyruvic. chromosomes were sent which were normal. a signature chip is pending at this time. a 22 darker banding was noted on the chromosomes. a urine cmv was negative. mri was obtained on and was normal per neuroradiology at . skull films were also obtained and those were interpreted as normal as well. ' neurologic examination continues to alternate between times of hypoactivity and hypertonicity. some of his clinical symptoms have been attributed to maternal medication administration including welbutrin, zoloft and terazodone which have demonstrated abnormal neurologic examinations in the initial newborn period. sensory: referred on his right ear, on the initial newborn hearing screen on . he will need a follow up diagnostic brain stem auditory evoked response test in the near future. ophthalmology: on , an ophthalmology examination was obtained and this was interpreted as normal. psychosocial: a social worker was involved with this family. parents have been involved and concerned over ' diagnosis and ability to feed well. condition on discharge: good. discharge disposition: transfer to pediatric surgery service (dr. ) for gastrostomy tube placment on . infant will be admitted to nicu 7 north following his surgery and then transferred to . name of primary pediatrician: dr. . medications: tri-vi-sold. car seat position screening has not yet been done. we recommend car bed seat for infant, not regular car seat at this time due to concern re: risk of upper airway problems in car seat. state newborn screens have been done per protocol. immunizations: received included hepatitis b vaccine. discharge diagnoses: 1. prematurity at 34 and 3/7 weeks. 2. rule out sepsis. 3. branchio-oro-facial syndrome. 4. laryngomalacia. 5. resolved physiologic jaundice. 6. feeding intolerance. need g-tube for long-term nutritional maintenance. , md dictated by: medquist36 d: 02:40:00 t: 06:12:19 updated job#: procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances other bronchoscopy non-invasive mechanical ventilation other phototherapy prophylactic administration of vaccine against other diseases circumcision diagnoses: need for prophylactic vaccination and inoculation against viral hepatitis single liveborn, born in hospital, delivered without mention of cesarean section neonatal jaundice associated with preterm delivery observation for suspected genetic or metabolic condition other preterm infants, 2,500 grams and over routine or ritual circumcision 33-34 completed weeks of gestation transitory tachypnea of newborn neonatal conjunctivitis and dacryocystitis other noxious influences affecting fetus or newborn via placenta or breast milk anomalies of skull and face bones pectus excavatum other specified congenital anomalies of eyelid branchial cleft sinus or fistula anomalies of spleen other congenital anomalies of tongue 

Answer: The patient is high likely exposed to