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Catching a nasty STD from anal sex. Usually from a filthy whore or or prostitute.
What is it doc? I feel horrible and I think my cock is going to rot off.
Have you had anal?
Yes.
Was he or she clean?
No. She was a street walker and gave it up for $5 so I had to clap them cheeks. Wouldn’t you?
Ummmm. No. That’s nasty. You have the ass crack fever. Here is a script now go soak your penis in bleach.
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When you don't wipe well after a poo, and you get the itchies.
Heather didn't wipe well enough, leaving her with ass crack fever.
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When you used to be sociable and then you started using crack (meth) and became anti social due to your drug use. You got the crack fever.
Also if you're a crack user and you make plans to go and do something social (meaning outside of your room or home) and then you flake out, you got the crack fever.
John: hey bro what's doin? Keen to go to the pub for a couple beers?
Larry: yeah bro when do you want to go?
John: I'll be at yours in an hour.
John arrives at Larry's
John: oi bro stop smashing the pipe, let's go down the pub
Larry: nah bro nah, I'm just gonna chill here ay.
John: fuck bro you got the crack fever