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CVE-2024-50591Local Privilege Escalation via Command Injection

Description

An attacker with local access the to medical office computer can escalate his Windows user privileges to "NT AUTHORITY\SYSTEM" by exploiting a command injection vulnerability in the Elefant Update Service. The command injection can be exploited by communicating with the Elefant Update Service which is running as "SYSTEM" via Windows Named Pipes.The Elefant Software Updater (ESU) consists of two components. An ESU service which runs as "NT AUTHORITY\SYSTEM" and an ESU tray client which communicates with the service to update or repair the installation and is running with user permissions. The communication is implemented using named pipes. A crafted message of type "MessageType.SupportServiceInfos" can be sent to the local ESU service to inject commands, which are then executed as "NT AUTHORITY\SYSTEM".

Public exploit

An exploit or proof of concept is public: anyone can try it against an unpatched system. CISA's SSVC rates its exploitation: a proof of concept is public.

Timeline

  1. ID reserved

    By SEC-VLab

  2. · 14 days later

    Published

  3. · 12 months later

    Record updated

Changes after publication (a new score, a public exploit, EPSS crossing 1, 10 or 50 %, leaving KEV) are kept since November 2026; earlier ones are not known.

Scores

CVSS scores of CVE-2024-50591, by who scored it
Scored byCVSSScoreVector
CISA-ADPADP (enrichment)3.1High7.8CVSS:3.1/AV:L/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H
NVDNVD · Deferred3.1High7.8CVSS:3.1/AV:L/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H
EPSS (exploitation in 30 days)
2.0% · top 19% of all CVEs (14 Nov 2026)
CISA SSVC
Exploitation: poc · Automatable: no · Technical impact: total
Loading the EPSS history…

The list uses the assigner's score when there is one, then CISA's, then NVD's: High 7.8.

Affected products

What to do

Solution: The vendor fixed the issue in version 1.4.2.1811 (or higher) of the Elefant Software Updater which can be downloaded from hasomed.de/produkte/elefant/ https://hasomed.de/produkte/elefant/ or via the Elefant Software Updater itself.

Workaround: While workarounds such as modifying the Elefant windows firewall rules and manually adjusting file permissions in the installation folder are feasible workarounds for some of the vulnerabilities, it is recommended to install the patches provided by the vendor.

References

References3

Sources

The same CVE in the primary databases and aggregators, to check against.

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Record last updated .