あかつつがむしなら
赤恙虫なら
akatsutsugamushinara

Noun
Da Copula

The "-nara" conditional form ("if/when…") of あかつつがむし

1. If/when there's a tsutsugamushi (oriental bloodsucker); If/when one has tsutsugamushi fever

Nara Conditional
Usually Written in Kana