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: was born at 37 and 6/7 weeks gestation to a 29 year old, gravida i, para 0, now i woman. mother's prenatal screens were blood type 0 positive, antibody negative, rubella immune, rpr nonreactive, hepatitis surface antigen negative and group b strep negative. the pregnancy was remarkable for the finding of fetal hydronephrosis, found on prenatal ultrasound. the mother had several ultrasounds and consulted with dr. of neurology department. the mother had spontaneous onset of labor and delivered vaginally. apgars were eight at one minute and nine at five minutes. antepartum, the mother did have a temperature of 100.1 and some fetal tachycardia was reported. the infant had some respiratory distress and required oxygen to remain well perfused in the delivery room and so was admitted to the newborn intensive care unit. birth weight was 3,210 grams. birth length was 50 cms and birth head circumference was 34 cms. physical examination: admission physical examination reveals a term appearing, dysmorphic infant, with prominent molding, eyes wide set and somewhat downward slanting. ears were slightly low set. palate was intact. small mouth. lungs were clear but there was evidence of upper airway mild obstruction developed over the first hours of life, with mild retractions and audible nasal stuffiness. equal breath sounds. heart was regular rate and rhythm, no murmur. normal pulses, good perfusion. abdomen: soft, nontender, nondistended. no organomegaly. abnormally formed penis with microphallus, some rotation of the penile shaft. abnormal hypoplastic shaft and glans. urethral opening on the side of the penis. small but good flow of urine observed. testes descended bilaterally. anus anteriorly placed. extremities with thumbs bilaterally slightly shortened with convex thumb nail. feet with overlapping toes. hospital course: 1.) respiratory status: the infant had some initial respiratory distress with subcostal retractions, nasal congestion, required nasal cannula oxygen. he was seen by the orl team of and fiberoptic examination revealed choanal stenosis, left greater than right. he was treated with neo-synephrine, dexamethasone drops and then prednisolone. his last dose of prednisolone was given on . he had improvement with each of those treatments. he weaned to room air on . on examination now, he has some very mild subcostal retractions but no nasal stuffiness. lung sounds are clear and equal. he will be followed up by the orl team at . 2.) cardiovascular status: cardiac evaluation was done to complete the evaluation, due to the dysmorphic features. an echo done on was essentially normal with mild findings of a patent foramen ovale with bidirectional flow, extremely tiny patent ductus arteriosis, patent ductus arteriosus, borderline dilation of the ascending aorta and good biventricular function. on examination, heart was regular rate and rhythm and no murmur. 3.) fluids, electrolytes and nutrition: at the time of discharge, his weight is 2,835 grams; his length is 50 cms and his head circumference is 34 cms. enteral feeds were begun on day of life number two. he reached full volume feedings within 24 hours. he is breast feeding well at the time of discharge. his prenatal ultrasound did show some bilateral hydronephrosis. renal ultrasound done on showed bilateral hydronephrosis, multiple renal cortical cysts on the left side, echogenic kidneys consistent with diffuse parenchymal disease and small kidneys for gestational age. he was seen by dr. of renal service and he will be followed up by them for their concerns of renal dysplasia. he has been mildly-moderately hypertensive during his hospitalization. he has not required treatment, and the blood pressures have been confounded by his neo-synephrine treatment. his blood pressure on the day of discharge was 89/49, 77. his electrolyte findings on were sodium of 132; potassium of 6.2; chloride of 99; bicarbonate of 14; bun 52 and creatinine of 1.6. this was a slightly hemolyzed blood specimen and a repeat specimen done on the day of discharge is as follows: 135/5.7/100/17 bun 54 creat 1.6. he was started on bicitra 1 meq tid for the persistence of low bicarbonate. 4.) gastrointestinal: on the day of delivery, the infant presented with some abdominal distention and a ropogo tube was placed. a kub was normal. the tube was removed on day of life number one when the distention resolved and feeding commenced without difficulty. his last bilirubin on was total of 5.8, direct of 0.3, indirect of 5.5. he never required any phototherapy. 5.) genitourinary: the mother was seen prenatally by dr. of urology service for the known hydronephrosis. on examination, he was found to have the hypospadias and penile torsion. he is currently being treated with prophylactic amoxicillin. he will be followed up four weeks after discharge with the urology service. 6.) genetics: multiple dysmorphic features are noted on genetic examination. in addition to those already mentioned in the admission physical examination, the findings are a face with a flat profile, redundant nuchal skin, nose with a broad nasal root, anterior placed anus, medially placed thumbs. the following tests remain pending at the time of discharge: karyotype, fish 22q11, fish 4p, and 7 dihydrocholesterol to rule out -lemli-opitz syndrome. these will be followed by dr. or dr. at genetics service. 7.) hematology: last hematocrit on was 52.3. this infant has never received any blood product transfusions during his neonatal intensive care unit stay. 8.) infectious disease: was started on ampicillin and gentamycin at the time of admission for sepsis risk factors. the antibiotics were discontinued after 48 hours when the infant was clinically well and the blood cultures were negative. he is currently on the amoxicillin prophylaxis. 9.) neurology: audiology, hearing screening was performed with automated auditory brain stem responses and the infant passed in both ears. 10.) psychosocial: the parents have been very involved in the infant's care throughout his neonatal intensive care unit stay. the infant is discharged in good condition. he is discharged home with his parents. the primary pediatric provider will be dr. , . recommendations after discharge: breast feeding on an ad lib schedule. medications: amoxicillin 100 mg p.o. q. day. poly-vi- 1 cc p.o. q. day. the infant had a state newborn screen sent on day of life number three. the infant has received his first hepatitis b vaccine on . recommended immunizations: synagis-rsv prophylaxis should be considered from through 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 plans for day care during the rsv season, with a smoker in the household or with preschool siblings. 3.) with chronic lung disease. influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age. before this age, the family and other caregivers should be considered for immunization against influenza to protect the infant. follow-up appointments: 1.) genetics: dr. or dr. at , telephone number . appointment at four weeks of age. 2.) orl, dr. , , telephone number . appointment two weeks after discharge. 3.) urology, dr. , telephone number , appointment at four weeks of age. 4.) renal service, dr. , appointment on , telephone number . 5.) appointment with dr. , pediatrician, on thursday, . discharge diagnoses: term male newborn. bilateral hydronephrosis. parenchymal renal disease. mild renal dysfunction. hypertension. choanal stenosis, left greater than right. hypospadias. multiple dysmorphic features, rule out genetic abnormality. , m.d. dictated by: medquist36 d: 03:01 t: 03:44 job#: procedure: enteral infusion of concentrated nutritional substances prophylactic administration of vaccine against other diseases audiological evaluation other diagnostic procedures on nasal sinuses diagnoses: single liveborn, born in hospital, delivered without mention of cesarean section patent ductus arteriosus ostium secundum type atrial septal defect other obstructive defects of renal pelvis and ureter electrolyte and fluid disorders not elsewhere classified other specified anomalies of kidney polycystic kidney, unspecified type other specified congenital anomalies choanal atresia 

Answer: The patient is high likely exposed to