<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi. I went to the Dr this morning because for the past 2 weeks, I have had extreme fatigue, low grade fever, and bad headaches . I was diagnosed with pneumonia. This evening, I noticed that the top of my spine is enlarged and painful to the touch. Do you think it could be related to the pneumonia?  <response>: Hi, thank you for posting. I think that your problems are related to pneumonia. The symptom you are experiencing is a muscular pain. Beside the symptoms such as: cough, fatigue, fever and short of breath, Pneumonia is manifested with muscular pain. Muscular pain is caused due to bacterial toxin production. Except the treatment with antibiotic and anti-cough medicines, you should take painkillers.However, you should consult your neurologist. All the best. 