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A potential hazard of prolonged insertion of an intrauterine device.

To the Editor: We report the occurrence of Candida albicans fungemia in a 70-year-old woman that was associated with an intrauterine contraceptive device that had been in place for 28 years. The woman had a six-month history of non-insulin-dependent diabetes, controlled by diet. She presented with confusion, fever, hyperglycemia, and anuria. Initial examination suggested no focus of infection apart from a copious vaginal discharge containing blood. An intrauterine device was seen on x-ray examination. The white-cell count was 16,700 per cubic millimeter; glucose, 47.5 mmol per liter; sodium, 118 mmol per liter; and creatinine, 7.06 mg per deciliter (624 μmol . . .