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 the former 2,905 kg product of a 33 and 6/7 weeks gestation pregnancy, born to a 21 year old, gravida ii, para i, now ii woman. prenatal screens: blood type 0 positive, antibody negative, rubella immune, rpr nonreactive. hepatitis b surface antigen negative. group beta strep status unknown. the pregnancy was notable for a fetal survey at 17 weeks which was normal. a repeat ultrasound at 31 weeks gestation, performed at hospital, revealed severe, left sided hydronephrosis but normal amniotic fluid volume. consultation was sought with dr. , perinatologist, from . he repeated the ultrasound on which showed severe bilateral hydronephrosis with an enlarged bladder, as well as enlarged kidneys and severe oligohydramnios. there was a small amount of fetal ascites. an amniocentesis for chromosomal analysis was attempted and unsuccessful. the baby was re-evaluated on the day of delivery and found to have severe bilateral hydronephrosis as well as a severe unilateral hydrothorax. the decision was made to tap the fetal hydrothorax prenatally in order to remove fluid to optimize oxygenation and facilitate delivery room management. approximately 80 cc of light, yellow, clear fluid was removed by dr. . the infant was then delivered by cesarean section. the baby tolerated the procedure well in utero. at delivery, he was noted to be vigorous with good respiratory effort and tone. apgars were eight at one minute and nine at five minutes. he was transferred to the neonatal intensive care unit in oxygen and admitted for treatment of prematurity. physical examination: upon admission to the neonatal intensive care unit, weight was 2,905 kg, 95th percentile. length 48 cm, 80th percentile. head circumference 33.25 cm, 90th percentile. general: non dysmorphic, preterm male, in moderate respiratory distress. head, eyes, ears, nose and throat: anterior fontanel soft and flat. sutures mobile. palate intact. facies non dysmorphic. chest: mild to moderate retractions, good air entry but decreased air entry in the bases bilaterally. cardiovascular: normal s1 and s2, no murmur. good perfusion. pulses normal. abdomen distended. kidneys easily palpable and enlarged bilaterally. abdomen soft with normoactive bowel sounds. genitourinary: normal male. testes descended bilaterally. urination observed twice with good flow. extremities: bilateral mild positional foot deformities in plantar flexion, easily moved into neutral position. hips stable. neurologic: tone appropriate with symmetrical examination. skin: needle mark from in utero thoracentesis, in the left upper thorax, just lateral to midline. hospital course: 1. respiratory: had progressive respiratory distress and increased work of breathing. he was electively intubated and given two doses of surfactant. chest x-ray obtained after intubation showed a residual small left pleural effusion. this resolved over the next 24 hours. was extubated to room air on day of life number two and continued in room air through the rest of his neonatal intensive care unit admission. he has not had any episodes of spontaneous apnea or bradycardia. 1. cardiovascular: due to the renal anomalies, a cardiac echo was obtained and showed mild bilateral ventricular dysfunction. a patent ductus arteriosus and pfo but no structural abnormalities were seen. has maintained normal heart rates and blood pressures and no murmur has been noted. his heart rate is 110 to 140 beats per minute. recent blood pressure was 62/34 mmhg with a mean arterial pressure of 45. 1. fluids, electrolytes and nutrition: was initially n.p.o. and fluid restricted to 40 cc per kg per day. as his urine output increased, his fluids were liberalized. he was started on enteral feeds on day of life number two and gradually advanced to full volume. his feedings are breast milk or special care premature formula, 160 cc kg per day by gavage. serum electrolytes have been relatively stable with serum sodium in the 130's to 150 range. most recent set of electrolytes on had a sodium of 139; potassium of 5.5; chloride of 109. his urine output has been 5 to 6 cc per kg per hour. his most recent weight is 2.44 kg which reflects an 80 gram loss in the previous 24 hours. was made npo in preparation for surgery. an intravenous line of d-10-w with 2 meq of sodium chloride and 1 mg of potassium chloride is infusing at 120 cc per kg per day. 1. infectious disease: was evaluated for sepsis upon admission to the neonatal intensive care unit. a complete blood count was 6,700 with a differential of 28 percent polymorphonuclear cells, 1 percent band neutrophils. a blood culture was obtained prior to starting intravenous ampicillin and cefotaxime. the blood culture was no growth at 48 hours and the cefotaxime was discontinued. the ampicillin was continued at a prophylaxis dosing until full feedings were established. was then changed to amoxicillin p.o. for urinary tract infection prophylaxis. 2. hematologic: hematocrit at birth was 37.8 percent. has not received any transfusions of blood products during admission. 3. gastrointestinal: required treatment for unconjugated hyperbilirubinemia with phototherapy. peak serum bilirubin occurred on day of life five with a total of 16.8 over 0.3 mg per dl. phototherapy was initiated. a repeat bilirubin on was a total of 12.9 over 0.2. phototherapy was discontinued at 1600 hours on and a rebound bilirubin on is 9.7/0.2. 4. renal: the urology service from was consulted. dr. is the attending urologist. a urinary catheter was placed on the day of delivery and drained approximately 120 cc over the initial six hours. the foley catheter has remained in place during admission. an initial renal ultrasound was performed on and showed severe bilateral hydronephrosis, the left greater than right and elevated resistive indices. repeat renal ultrasound on with the foley catheter in place showed much improved hydronephrosis however with persisitent increased echogenicity but with normal resistive indices. , a voiding cystourethrogram was performed at which showed posterior urethral valves and grade 5 reflux on the left. the plan is to transfer to for surgical repair of his posterior urethral valve. bun and creatinines have been checked daily since admission. peak creatinine occurred on day of life two at 1.2. most recent bun and creatinine on had a bun of 5 and creatinine of 0.7. 5. neurology: has maintained a normal neurologic examination during admission. there are no neurologic concerns at the time of discharge. 6. sensory: hearing screening has not yet been performed. condition on discharge: stable. discharge disposition: transfer to for surgical repair and postoperative care. primary pediatrician: , m.d., pediatrics pc, , , . telephone number . fax number . care and recommendations: 1. is n.p.o. on intravenous fluids. when feeding, breast milk or special care formula mostly by gavage. 2. amoxicillin - gu prophylaxis. 3. car seat position screening has not yet been performed but is recommended prior to discharge. 4. state newborn screen was sent on with no notification of abnormal results to date. 5. no immunizations administered. 6. immunizations recommended: synagis rsv prophylaxis should be considered from to for infants who meet any of the following three criteria: 1. ) born at less than 32 weeks. 2.) born between 32 and 35 weeks with two of the following: day care during rsv season, a smoker in the household, neuromuscular disease, airway abnormalities or school age siblings. or, 3.) with chronic lung disease. influenza immunization is recommended annually in the fall for all infants once they reach six 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: 1. pediatric urology with dr. , , telephone number . discharge diagnoses: 1. prematurity at 33 and 6/7 weeks gestation. 2. respiratory distress syndrome. 3. suspicion for sepsis, ruled out. 4. bilateral hydronephrosis. 5. posterior urethral valves. 6. left pleural effusion. 7. unconjugated hyperbilirubinemia. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other phototherapy retrograde cystourethrogram diagnoses: unspecified pleural effusion single liveborn, born in hospital, delivered by cesarean section observation for suspected infectious condition neonatal jaundice associated with preterm delivery patent ductus arteriosus other preterm infants, 2,500 grams and over other respiratory problems after birth 33-34 completed weeks of gestation ostium secundum type atrial septal defect other obstructive defects of renal pelvis and ureter vesicoureteral reflux with reflux nephropathy, unilateral 

Answer: The patient is high likely exposed to