Antigen fingerprinting based on surface glycolipid antigens was applied to
the epidemiology of clinical isolates of the Mycobacterium avium complex fr
om 128 acquired immunodeficiency syndrome (AIDS) and 31 non-AIDS patients f
rom several different regions of Spain. The application of thin-layer chrom
atography, gas chromatography-mass spectrometry and monoclonal antibodies,
combined with ELISA, allowed a facile identification, differentiation and c
lassification of the isolates. The cumulative results demonstrate that, amo
ng the clinical isolates, serovar 4 was predominant in both AIDS (33.6%) an
d non-AIDS (22.6%) isolates. In general, the results demonstrate geographic
al as well as disease-related differences in the distribution of Myco. aviu
m complex serovars of clinical importance.