This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Microbiology
[{'content': 'Regarding cutaneous amoebiasis which is not true ? \nSelect and explain. \nA. It is a spreading necrotising, B. Rapid improvement with anti-amoebic treatment occurs, C. Can occur in the perianal region, D. The infection reaches the skin through the blood stream', 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. is 'd' i.e., The infection reaches the skin through the blood stream . Skin is involved directly over the region adjoining a visceral lesion, such as, in the areas of drainage of liver abscess or colostomy wound, in the sites of ruptured appendicular and peri-colic abscesses. . Extensive necrosis and sloughing of the skin and subcutaneous tissues are caused by the trophozoites of E. histolytica. . Granulomatous ulceration and granulomatous mass may occur in the peri-anal region.", 'role': 'assistant'}]