Two wild-caught Bosc's monitor lizards (Varanus exanthematicus) developed clinical signs of pentasomiasis approximately 3 yr after arrival in the United Kingdom. One died of chronic parasitic pneumonia associated with adult pentastomids of an undescribed Sambonia species. Eggs and immature pentastomids were also seen in histologic sections of the lungs and liver. The other animal was treated for pneumonia and for nodular inflammation of the larynx that restricted the diameter of the glottis. Fragments of pentastomid larvae were seen in a laryngeal biopsy, and the animal recovered after treatment with ivermectin and supportive therapy.