<prompt> Regarding cutaneous amoebiasis which is not true ?It is a spreading necrotisingRapid improvement with anti-amoebic treatment occursCan occur in the perianal regionThe infection reaches the skin through the blood stream  <response>: 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. 