- rash) in 1881. What were thought to be two distinct forms of rubella were then described and it was proposed that one of these forms of rubella was a separate entity that was called fourth disease. For many years, fourth disease was considered a non-entity, perhaps a mild form of scarlet fever, but certainly not a distinct disease. Now it is clear that fourth disease is caused by exotoxin-producing Staph aureus.
Medical dictionary. 2011.
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