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CVE-2024-50590VulnerabilityPublished Updated

Attackers with local access to the medical office computer can escalate their Windows user privileges to "NT

Source GCVE Database

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Authoritative record:CVE-2024-50590· High 7.8

Not known to be exploited · CVSS 7.8 High.

Data as of 29 Oct 2026, 23:14 UTC

CVSS 3.1 base score
7.8High
How severe the flaw is on the 0–10 CVSS scale.

Thin evidence

One scorer or none
CVSS scores by source
CISA-ADPCVSS 3.17.8
CVSS:3.1/AV:L/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H

Exploitation evidence

  1. Disclosed: evidence found.

    CVE published 8 Nov 2024

  2. Detectable: no evidence on record.

    No public nuclei template indexed

  3. Weaponized: no evidence on record.

    No public exploit code indexed in Metasploit or Exploit-DB

  4. Exploited in the wild: no evidence on record.

    Not in CISA KEV and no source reports exploitation

  5. Observed by OffSeq Mirage: no evidence on record.

    No attack traffic recorded by OffSeq Mirage sensors

A missing step is not evidence of safety. Sources: cve.org (opens in a new tab), the Metasploit, Exploit-DB and nuclei-templates index as of 29 Oct 2026.

What to do

AI-suggested

Mitigation involves restricting write permissions on the Elefant installation directory (C:\Elefant1) and the Firebird service binaries (fbserver.exe and fbguard.exe) to prevent unauthorized modification. Administrators should ensure that only trusted users have write access to these files and directories. Monitor for unauthorized file changes and avoid running services with unnecessarily broad permissions.

Description

A vulnerability in the Elefant medical office software allows local attackers to escalate privileges to NT AUTHORITY\SYSTEM by exploiting weak permissions on service binaries. The default installation directory (C:\Elefant1) is writable by all users, and two Firebird database service executables running as SYSTEM can be replaced by an attacker. Upon system reboot, the malicious executable runs with SYSTEM privileges, enabling full control.

References

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