<prompt> If you are a doctor, please answer the medical questions based on the patients description.Doctor, I have been having shoulder swelling, back pain, fever, hand or finger pain and shortness of breath. Can you tell me what might be causing these symptoms?  <response>: Based on the symptoms you have mentioned, it is possible that you are suffering from Valley fever. It is a fungal infection that spreads through the spores present in the soil and air in certain regions. 