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
Which of the following is false about mycetoma - 
Select and explain. 
A. Can affect lower and upper extremities, B. Caused by actinomycetes and filamentous fungi, C. Diagnosis is by examination of pus, D. Uncommon in India
D: Uncommon in India
Answer: D: Uncommon in India 
Explanation: Mycetoma - A chronic, slowly progressive granulomatous infection of the skin and subcutaneous tissues. Caused by actinomycetes and filamentous fungi Clinically, it is manifested as triad of swelling, discharging sinuses and presence of granules in the discharge. Can affect lower and upper extremities 2. Laboratory Diagnosis: Diagnosis is by examination of pus / discharge - Direct Examination: Granules are thoroughly washed in sterile saline; crushed between the slides and examined Epidemiology: - Mycetoma is endemic in Africa, India and the Central and South Americas. - Overall, actinomycetoma is more common (60%) than eumycetoma (40%) globally.