Gout is a disease in which uric acid salts (urates) are deposited in joints or in soft tissues (this is called tophaceous gout).

CNN: Do I have gout or tendinitis?

The larvae of the cheese fly (Piophila casei) are added to the cheese, and the acid from their digestive systems breaks down the cheese's fats, making the final product soft and liquidy.

WSJ: NattO, Maggot Cheese and Other Food That May Repel