This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: mycology, Subject name: Microbiology
[{'content': 'Which of the following is false about mycetoma \nSelect and explain. \nA. Can affect lower and upper extremities, B. Caused by actinomycetes and filamentous fungi, C. Diagnosis is by examination of pus, D. Uncommon in India', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The disease was first described by gill from Madurai, South India. Quite common in Tamilnadu, India. Ref: Textbook of Microbiology, Ananthanarayan and Paniker; 9th edition', 'role': 'assistant'}]