Brucellosis is a zoonotic disease and is endemic in Saudi Arabia. Transmitted to humans by direct contact with infected animals or by consumption of unpasteurized dairy products. A 36-year-old Saudi man who presented with left hip pain, fever, and a positive history of unpasteurized milk. Sacroiliitis was documented by the positive results of Wright agglutination and magnetic resonance imaging. Treatment consisted of NSAIDs, doxycycline, rifampicin, and IV gentamicin