“…Studies were from Switzerland [ 33 ], Germany [ 34 ], USA [ 6 , 35 , 36 , 37 , 38 ], Australia [ 39 ], UK [ 7 , 40 , 41 , 42 , 43 ], France [ 44 ], The Netherlands [ 8 ], and Canada [ 13 ]. The most commonly-identified lizard or snakes were bearded dragons [ 34 , 35 , 40 , 45 ] and iguanas [ 6 , 13 , 36 , 37 , 42 , 43 ]; although other species included corn snakes [ 37 , 44 ], a water dragon [ 41 ], a boa constrictor [ 38 ], and a gecko [ 7 ]. The cases described in Table 2 demonstrate a range of clinical presentations including gastrointestinal, sinus, blood, brain, bone, urinary tract, and spleen infections and primarily involved young children and immunocompromised patients.…”