<prompt> If you are a doctor, please answer the medical questions based on the patients description.young lady in her early 30s works for me she has sean dr for a year cant find whats wrong. she went to californis san diago for her honeymoon came back and had a kidney infection went on antibiotics got better however has run a low grade fever since now its been a year lots of tests and no answers she has lost alot of weight, loss of appetite is very tired but cant sleep, has some good days lately then plunges cant work a whole day. she was in a car accident in high school had to cut her out of the car broken back they wrapped it and let it heal so is pain most of time and has been on pain meds since she was 18 now pain patches no insurance so cant afford back surgery and also scared ro do it anyway what do you think should be looked into?  <response>: Hi, Thank you for your query. With multiple issues the young lady needs to be investigated thoroughly for:1. Low grade fever.2. Backache. There must be a sides of infection which needs to be found and managed accordingly. At times the kidney infection can linger on and cause both the complaints mentioned above. Hence, a simple urine routine and culture examination become mandatory to start with. I hope I have answered your query to your satisfaction. Wishing the young lady all the best. Rajiv K Khandelwal 