Peripheral limb ischaemia and gangrene are devastating complications of pneumococcal sepsis. We report a 43-year-old professional pianist who presented with early sepsis and rapid development of this syndrome. No vasopressor medication was ever administered. We urgently reviewed the medical literature on a range of therapies recommended by consulting teams, to ensure he received optimal care. Based on our review and on feedback from the patient himself, we gained valuable insights into this illness and the merits of selected treatment options. His fingers ultimately recovered their function, intact, although several toes were later amputated. More recently published reviews postulate that imbalances in coagulation factors and natural anticoagulants occur as a result of disseminated intravascular coagulopathy and ‘shock liver’ in the sepsis syndrome, leading to microcirculatory thromboses. We submit this report as we believe it supports this hypothesis and adds further valuable information. We hope our observations will assist other critical care clinicians confronting this serious condition.

Farmers used to calculate the soil's readiness and assess the impact of their doubts before producing a particular type of yield. A real-time monitoring system for livestock and agriculture describes the utilization of the Internet of Things (IoT) technology. The system comprises of various sensors and devices that collect data related to the environmental conditions, health status, and behaviour of livestock, as well as the soil moisture level, temperature, and humidity of crops. The data collected from these devices is transmitted to a cloud-based platform where it is processed. The system also includes alerts and notifications to farmers in case of any anomalies or deviations from the expected norms, enabling them to take prompt corrective action. Overall, the real-time monitoring system using IoT technology has the potential to improve livestock and crop management practices, increase productivity, and enhance the overall efficiency of the agriculture industry.

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