CVE intelligence and bounded remediation

CVE-2024-50590 — Attackers with local access to the medical office computer can escalate their Windows user privileges to "NT AUTHORITY\SYSTEM" by...

High CVSS 7.8

Attackers with local access to the medical office computer can escalate their Windows user privileges to "NT AUTHORITY\SYSTEM" by overwriting one of two Elefant service binaries with weak permissions. The default installation directory of Elefant is "C:\Elefant1" which is writable for all users. In addition, the Elefant installer registers two Firebird database services which are running as “NT AUTHORITY\SYSTEM”. Path: C:\Elefant1\Firebird_2\bin\fbserver.exe Path: C:\Elefant1\Firebird_2\bin\fbguard.exe Both service binaries are user writable. This means that a local attacker can rename one of the service binaries, replace the service executable with a new executable, and then restart the system. Once the system has rebooted, the new service binary is executed as "NT AUTHORITY\SYSTEM".

Severity
High
CVSS
7.8 (3.1)
Published
2024-11-08
CISA KEV
Not currently listed
Ecosystem
windows/system
Weaknesses
CWE-250, CWE-276, CWE-732

Affected products

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Matched remediation archetype

Privilege escalation and unsafe privilege management

This catalog composition supplies bounded fallback guidance. Explicitly reviewed curated workflows load with the complete record below.

Check exposure

  • Map service accounts, operating-system identities, roles, capabilities, impersonation, set-user transitions, and administrative helper paths.
  • Determine whether untrusted users or lower-privilege processes can reach the affected transition or modify inputs it trusts.
  • Review file, socket, registry, device, job, container, and cloud-role permissions used before and after privilege changes.

Remediate safely

  • Apply the supported fix and redesign privileged operations as a minimal, authenticated, allowlisted interface.
  • Drop privileges before processing untrusted input, verify the drop succeeds, and remove unnecessary roles, capabilities, and write permissions.
  • Validate ownership and permissions at time of use and add explicit lower-to-higher privilege boundary tests.

Authoritative sources

Complete CVE record and remediation plan

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