CVE-2024-50590: Attackers with local access to the medical office computer can escalate their Windows user privileges to "NT AUTHORITY\SYSTEM" by overwriting one of two Elefa

Attackers with local access to the medical office computer can escalate their Windows user privileges to "NT AUTHORITY\SYSTEM" by overwriting one of two Elefa

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".

Description from the National Vulnerability Database, published by 551230f0-3615-47bd-b7cc-93e92e730bbf

What it means for a small business

If your business uses Elefant, install the vendor's update. If you're not sure whether you use it, ask whoever manages your computers.

How likely is an attack? The Exploit Prediction Scoring System, run by FIRST (the global association of security response teams), puts the odds of this one being exploited in the next 30 days at 0.19%, higher than 8% of CVEs. That’s low, but low isn’t zero, and the odds jump the day someone publishes an exploit. Scored October 29, 2026, updated daily.

Check your own setup

Website check: reads what your site runs from the outside (WordPress version, plugins it can see, old server software) and matches it against this database.
Server check: what your web server says about itself, and whether that version has known flaws.

Sources

Part of the Huttenlocher Technologies vulnerability database, refreshed twice a day from CISA and the NVD. The title, category and plain-language guidance are ours; check the linked record before acting on a detail. This is general guidance, not a review of your systems.

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