Chylothorax is bacteriostatic in nature. Bacterial infection rarely develop
s in chylothorax and has never been reported in a non-immunocompromised hos
t. A 33-year-old woman was admitted to National Taiwan University Hospital
because of fever and right pleuritic pain. Chest roentgenography and comput
ed tomography revealed right pleural effusion. Examination of the pleural e
ffusion revealed a profile compatible with empyema and chylothorax. Culture
of the pleural effusion yielded Streptococcus agalactiae. The woman was no
t immunocompromised. This is the first report of infected chylothorax cause
d by Streptococcus agalactiae in a nonimmunocompromised host.