<p>This article highlights a paradigm shift in the management of decubitus ulcers, since these are usually treated in secondary and tertiary care, leading to large healthcare cost and the risk of acquiring nosocomial infections. The successful management of decubitus ulcers in a paraplegic patient, treated at primary care level utilising natural honey, outlined in this case study represents an opportunity for low-income countries to combat the common morbidity and mortality associated with decubitus ulcers. This case study demonstrates the potential use of natural honey as an efficacious treatment for challenging wounds.</p>
