Cutaneous larva migrans (CLM) is a zoonotic parasitic infection traditionally associated with tropical and subtropical regions. In recent years, autochthonous cases have been reported in various European countries, suggesting a possible change in the epidemiological profile of the disease. We present a case of a patient with no history of international travel who developed a typical serpiginous, migrating skin lesion after local exposure. The diagnosis was made clinically, and treatment with albendazole resulted in rapid clinical improvement. To our knowledge, this is the first published probable autochthonous case of CLM in Bulgaria. The case highlights the role of climate change in expanding the geographical scope of the parasitosis and the need for increased clinical vigilance at the primary care level.