<s>[INST] I have a temp of 99 degrees every other evening for 3 times now, back spasms for 2 months which were just when I turned over but now are with other activity also such as walking. Today began experiencing neck tightness. What is wrong with me? Thank you. [/INST] Hello ! I read your question carefully and understand your concern. I would recommend you to consult with a GP as soon as possible and have some tests done. In your situation I would think of infections, which could be located in the cervical column or meningitis. These two disorders have similar clinical patterns. A full blood work for infection and a good neurological examination are very important. You may need further tests like a cervices-thoracal column CT scan or a lumbar puncture to establish the cause and the wright treatment. Hope to have been of help! Thank you for using Chat Doctor! Best wishes,  </s>