Entamoeba histolytica is an anaerobic parasitic amoebozoan, predominantly infecting humans and other primates causing amoebiasis or dysentery. Symptoms can include fulminating dysentery, bloody diarrhoea, weight loss, fatigue, abdominal pain. The active (trophozoite) stage exists only in the host and in fresh loose faeces and cysts survive outside the host in water, in soils, and on foods, especially under moist conditions on the latter. The infection can occur through contaminated food and water containing cysts. So, the correct answer is 'Food or water contaminated with cysts'.