There are some (usually rare) situations where extracting text from PDF documents is not possible:
In principle, these issues could be solved by embedding an OCR process within PDFTextStream. This may be done for some future release.
PDFTextStream Bug
Finally, it is possible that you have stumbled across a bug in PDFTextStream. The easiest way to test for this possibility is to attempt to copy-and-paste text from the PDF file in question using Adobe Acrobat. If you can successfully do this (and the pasted text looks correct), but PDFTextStream is not delivering text, or the text it is delivering is incorrect in some way, then you have likely discovered a bug in PDFTextStream. In this case, please open a support ticket with us, and we'll begin working to resolve the problem straight away.