Hi. I realise from your history that there must be some sort of process affecting multiple systems. Infection can be the first to be considered in view of the fact that you had fluid in the lung, low counts, splenic enlargement and elevated enzymes all suggesting a septic process. Bacterial infections including tuberculosis
can cause similar picture. The other possibility is that there is some sort of immunodeficiency
due to which you have been having this syndrome. Apart from infection, malignancy is another possibility to think of, with lymphomas high up in the list of differential diagnosis. A bone marrow
evaluation, and a search for lymph nodes should help. This would be my approach to your illness. Hope i have answered your query, Thank you.