We wish to thank Dr Basile for his comments on our recently published case report [1]; in particular, we would like to clarify the following issues:we did not measure coniine levels as the lab technique was not readily available at our hospital, and its results would not have changed the treatment strategy;we made it clear in the Discussion that the course of the disease is variable and can be complicated by renal failure and shock.The focus of our case report was on rhabdomyolysis and the inclusion of coturnism in its differential diagnosis; an exhaustive review of the clinical spectrum of nicotinic poisoning lies beyond the scope of our short report.