We thank Saurav Paul and colleagues for their response to our Correspondence.1 Our original Correspondence was written at a time when scarce scientific information was available on this uncommon presentation referred to as tomato flu; hence we included media reports in our references. The main aim of our Correspondence was to increase awareness of this unusual presentation, based on the information available to us at the time; however, we appreciate that discussion of the COVID-19 pandemic in relation to tomato flu might have caused unnecessary concern.