Certainly, if any time during the administration of fluticasone you were to develop new respiratory
or systemic (night sweats
or fever) symptoms it would be imperative to thoroughly re-assess the status of your lungs, vis a vis TB.
Regarding your question about steroid side effects, the answer is yes; the risk of cataracts and osteoporosis heighten but only with high dose inhaled steroids and, even then, the risk is low.