“…It has been pointed out that refined definition and careful use of the term "venom" are necessary at least when used in a biological context (8,14). However, it would be safe to describe the present case as human envenomation because there is evidence that small arboreal lizards seized by L. madagascariensis seem to be quickly immobilized (or possibly killed) (11), which fulfills the biological definition of "venom" (8,9,10,14). The fact that severe pain suddenly began after 30 seconds may reflect the slow and inefficient delivery of venom associated with low pressure system and occlusion of the fang groove by the skin of the finger (6,8,9,10,14).…”