Editor,—Endogenous or metastatic bacterial endophthalmitis is rare, with a prevalence of approximately 2–8% of all cases of endophthalmitis.1 Endogenous bacterial endophthalmitis is associated with chronic diseases such as diabetes mellitus and renal failure, invasive medical procedures, and non-ocular surgery, injecting drug abuse, or prolonged placements of central venous lines.1 Gram positive bacteria are the most common causative organisms of endogenous bacterial endophthalmitis.1

A small number of cases of endogenous bacterial endophthalmitis due toKlebsiella pneumoniae, a Gram negative organism, have previously been reported, with the majority of the cases originating in Taiwan.2-7 K pneumoniae endophthalmitis is associated with diabetes mellitus and hepatic abscesses, can be bilateral, and is also associated with a poor visual outcome.2-7 We report the case of a Taiwanese seaman who developed bilateral endogenous bacterial endophthalmitis after presenting with a pyogenic hepatic abscess.