<s>[INST] my spouse became Ill in December. his initial complaint was he thought he might have something wrong with his kidneys. went to doc, white cell elevated, urine negative, ct scan showed infectious process in psoas muscle region of abdomen. he is a splenic due to a history of ttp. iv antibiotics for 6 weeks. treated as abscess. white cell count normal at last visit and white cell normal 2 weeks ago. had scribal ultrasound due to testicular tenderness, showed mild epididymitis after all those antibiotics. numerous blood cultures negative for growth. colonoscopy negative. still have left sided abdominal and back pain. describes as a constant pressure with a feeling of filling up gradually as day progresses. this is consuming our lives. what could this be? [/INST] Hi. The chronic problem due to swelling of the sons muscle, spleen, epididymis and the other picture you have mentioned is suggestive of Tuberculosis unless proved otherwise. Get appropriate examination, consult a General Surgeon, Get a CT scan again, Get all the relevant blood tests including God Quantifier test for TB, Manitou, ESR done. A therapeutic trial with an Anti-TB medicines should help you. </s>