Abstract Background Kounis syndrome is a rare cause of myocardial infarction. Pericarditis, which is one of the complications of myocardial infarction, can also develop after kounis syndrome. Case Presentation A 19 year old female patient with no known previous disease history, referred to emergency department with anaphylactic shock after bee stinging. After clinical stabilisation, further investigation showed ECG changes and elevated high sensitive troponin T (hs-troponin T) levels, which led to the diagnosis of Kounis Syndrome and the patient was referred to the Cardiology Intensive Care Unit. During the diagnostic work-up and patient follow-up's, a new onset chest pain led to the diagnosis of Pericarditis Epistenocardica. Conclusions This case report discusses the clinical case and current medical management and treatment of Kounis Syndrome and Pericarditis epistenocardica.