And in 2024, there was a case in North America. The victim had prepared a dish of fermented corn flour. When he went to hospital two days later, he complained of nausea, vomiting and exhaustion. At this point, his liver and kidneys were already severely damaged and his blood was acidic. His condition deteriorated steadily over the following days and he died in hospital eight days later. So far, no cases of bongkrekic acid poisoning have been observed in Europe, but it cannot be ruled out that B. cocovenenans will appear there at some point.