NextGen Healthcare Mirth Connect Under Attack
Vulnerabilities mentionedAll →
| CVE | Vulnerability | CVSS | EPSS | Flags | Affected | Exposure | Published |
|---|---|---|---|---|---|---|---|
| CVE-2023-37679 | A remote command execution (RCE) vulnerability in NextGen Mirth Connect v4.3.0 allows attackers to execute arbitrary commands on the hosting server. A remote command execution (RCE) vulnerability in NextGen Mirth Connect v4.3.0 allows attackers to execute arbitrary commands on the hosting server. NVD description · AI analysis pending | 9.8 | 99% | PoC |
| — | |
| CVE-2023-43208 | Unauthenticated Deserialization RCE in NextGen Healthcare Mirth Connect CVE-2023-43208 is an unauthenticated remote code execution flaw in NextGen Healthcare Mirth Connect, a widely used healthcare integration engine, caused by incomplete patching of the earlier CVE-2023-37679 deserialization vulnerability. An attacker can trigger it by sending crafted serialized data to the network-exposed Mirth Connect service, requiring no authentication or user interaction (CVSS 3.1: 9.8, AV:N/AC:L/PR:N/UI:N). Successful exploitation yields arbitrary code execution on the server, giving attackers a foothold in hospital and health-system networks that Mirth Connect uses to move clinical data (including PHI) between systems. All deployments running Mirth Connect versions before 4.4.1 are affected. The flaw is being actively exploited — CISA added it to the Known Exploited Vulnerabilities catalog on 2024-05-20 with known ransomware use, public proof-of-concept exploits exist, and EPSS estimates an 82.7% chance of exploitation within 30 days. Do: Upgrade Mirth Connect to version 4.4.1 or later as the CISA KEV required action, or discontinue use if upgrades are unavailable. Identify and restrict internet-exposed Mirth Connect instances (the service is commonly reachable on its web/admin interface), and hunt for signs of compromise given confirmed ransomware use. Because this bypasses the earlier CVE-2023-37679 fix, verify patch levels directly rather than assuming prior remediation. | 9.8 | 83% | KEV ransomware PoC ×2 |
| large≈10,000–30,000 internet-exposed Mirth Connect instances, plus many more internal deployments at thousands of hospitals and health systems | |
| CVE-2023-48788 | Unauthenticated SQL Injection in Fortinet FortiClient EMS Fortinet FortiClient EMS — the central management server for FortiClient endpoint deployments — contains a SQL injection flaw (CWE-89) in versions 7.0.1 through 7.0.10 and 7.2.0 through 7.2.2. The CVSS 3.1 vector (AV:N/AC:L/PR:N/UI:N) shows it can be triggered remotely with no credentials and no user interaction: an unauthenticated attacker sends specially crafted packets to the vulnerable management server and can execute unauthorized code or commands. Successful exploitation effectively yields remote code execution on the EMS server and access to its database, enabling follow-on actions such as credential theft, abuse of endpoint management functions, and ransomware deployment. Any organization running the affected EMS versions is exposed, especially where the management server is reachable from the internet. Exploitation is confirmed in the wild: CISA added the bug to the KEV catalog on 2024-03-25 with known ransomware use, and EPSS assigns a ~98.4% probability of exploitation within 30 days (100th percentile). Do: Upgrade FortiClient EMS to the fixed releases per Fortinet's advisory for this CVE (7.2.3 and 7.0.11 or later, i.e., beyond the 7.2.2 and 7.0.10 affected ranges); the CISA KEV required action is to apply vendor mitigations or discontinue use if mitigations are unavailable. Until patched, limit exposure of the EMS web interface to untrusted networks and hunt for signs of compromise — anomalous requests to the management console, unexpected database or admin activity, and follow-on ransomware behavior — since exploitation with known ransomware use is confirmed. | 9.8 | 98% | KEV ransomware |
| largetens of thousands of EMS deployments worldwide, with a smaller subset (likely thousands) internet-exposed | |
| CVE-2024-1709 +1 in the same advisory: …1708 | Authentication Bypass in ConnectWise ScreenConnect Creates Rogue Admin Accounts ConnectWise ScreenConnect (ConnectWise Control), a widely used remote-access and remote-monitoring tool, contains an authentication bypass (CWE-288) in its management interface. An attacker needs only network access to the management interface to trigger the flaw, with no valid credentials or user interaction required. A successful attacker gains administrative control of the ScreenConnect server by creating a new administrator-level account, providing a foothold that has already been used in ransomware campaigns against downstream managed environments. Any organization running ConnectWise ScreenConnect is affected, especially managed service providers and IT teams whose management interface is reachable from the internet; the source data specifies affected products but no version ranges. Exploitation is confirmed and urgent: CISA added the flaw to the KEV on 2024-02-22 with known ransomware use, EPSS assigns a 100% probability of exploitation within 30 days, and ConnectWise warned that no patch was available at the time of disclosure. Do: Follow ConnectWise's instructions immediately: no patch existed at disclosure, so apply the vendor's mitigations or, per the CISA KEV required action, restrict internet exposure of the management interface or discontinue use until mitigations are available, then upgrade to the vendor's patched release as soon as it ships. Audit ScreenConnect servers for unexpectedly created administrator-level accounts and unusual remote sessions, which are the attack's artifacts. Prioritize any instance whose management interface is reachable from the internet, given confirmed in-the-wild exploitation and known ransomware use. | 10.0 group max | 100% | KEV ransomware PoC ×3 |
| masstens of thousands of internet-exposed ScreenConnect servers (on the order of 10,000-30,000 instances in public internet scans at disclosure), managing millions… | |
| CVE-2024-27198 +1 in the same advisory: …27199 | Authentication Bypass in JetBrains TeamCity CI/CD Server CVE-2024-27198 is an authentication bypass (CWE-288) in JetBrains TeamCity, JetBrains' self-hosted on-premises continuous integration/continuous delivery (CI/CD) server, that allows an unauthenticated attacker to circumvent login and perform administrative actions. It is triggered by sending specially crafted requests to the TeamCity web interface that dodge the authentication check, after which the attacker gains full administrator access. With admin access, an attacker can create administrative accounts, alter build configurations, plant code that runs on the server and its build agents, and reach source code, credentials, and secrets stored in the CI/CD environment, which ransomware operators have already used as an entry point. Any TeamCity deployment an attacker can reach over the network is affected, with internet-facing instances at the highest risk. Exploitation is confirmed in the wild: CISA added the flaw to the KEV catalog on 2024-03-07 with known ransomware use, and EPSS estimates a 99.9% probability of exploitation within 30 days. Do: Upgrade immediately to the patched TeamCity release per JetBrains' advisory (2023.11.4 or later fixes this vulnerability), or apply vendor mitigations or discontinue use per CISA guidance if patching is not possible. Audit instances for unexpected administrator accounts, modified build configurations, and other signs of compromise, since ransomware operators are known to be actively exploiting this bug. Restrict TeamCity's network exposure to trusted users and networks until the update is applied. | 9.8 group max | 100% | KEV ransomware |
| largetens of thousands of internet-exposed TeamCity servers (roughly 20,000–30,000 per public scans at disclosure) | |
| CVE-2024-4947 | V8 Type Confusion in Google Chrome Actively Exploited by Lazarus Group CVE-2024-4947 is a type-confusion flaw (CWE-843) in the V8 JavaScript engine of Google Chrome, rated High by Chromium with a CVSS 3.1 score of 9.6. An attacker triggers it by luring a user to a crafted HTML page, causing V8 to misinterpret object types and enabling execution of arbitrary code inside the Chrome sandbox. Exploitation of the V8 bug alone keeps the attacker sandboxed, but it is a typical first stage of a browser exploit chain and can be paired with sandbox-escape techniques for broader system access. All Google Chrome installations prior to 125.0.6422.60 are affected, as are Fedora's packaged builds of Chrome/Chromium carrying the vulnerable V8 code. The vulnerability was added to CISA's KEV on 2024-05-20, has a public PoC referenced in Google's issue tracker, and public reporting ties its in-the-wild use to the North Korean Lazarus Group, which deployed the FudModule rootkit against infected Chrome users. Do: Upgrade Google Chrome to 125.0.6422.60 or later on all endpoints, and install the updated chromium packages published for Fedora, prioritizing this patch because the flaw is CISA KEV-listed with a mandatory mitigation deadline. Because Lazarus Group is exploiting this in the wild via crafted web pages, review endpoint telemetry for suspicious browser-borne activity and warn users against opening links from untrusted or decoy game/job-lure sites. | 9.6 | 15% | KEV PoC |
| masson the order of billions of Chrome installations (Chrome is the world's dominant desktop browser with roughly 65% market share and a multi-billion active… |
Full article313 words · extracted from thehackernews.com · click to collapse
Ravie LakshmananMay 21, 2024Healthcare / Vulnerability
The U.S. Cybersecurity and Infrastructure Security Agency (CISA) on Monday added a security flaw impacting NextGen Healthcare Mirth Connect to its Known Exploited Vulnerabilities (KEV) catalog, citing evidence of active exploitation.
The flaw, tracked as CVE-2023-43208 (CVSS score: N/A), concerns a case of unauthenticated remote code execution arising from an incomplete patch for another critical flaw CVE-2023-37679 (CVSS score: 9.8).
Details of the vulnerability were first revealed by Horizon3.ai in late October 2023, with additional technical specifics and a proof-of-concept (PoC) exploit released earlier this January.
Mirth Connect is an open-source data integration platform widely used by healthcare companies, allowing for data exchange between different systems in a standardized manner.
CVE-2023-43208 is "ultimately related to insecure usage of the Java XStream library for unmarshalling XML payloads," security researcher Naveen Sunkavally said, describing the flaw as easily exploitable.
CISA has not provided any information about the nature of attacks exploiting the flaw, and it is unclear who weaponized them or when in-the-wild exploitation attempts were recorded.
That having said, Microsoft noted last month that it has observed nation-state and cybercrime actors exploiting various flaws in Mirth Connect (CVE-2023-37679, CVE-2023-43208), ConnectWise ScreenConnect (CVE-2024-1709, CVE-2024-1708), JetBrains TeamCity (CVE-2024-27198, CVE-2024-27199), and Fortinet FortiClient EMS (CVE-2023-48788) for initial access in Q1 2024.
Also added to the KEV catalog is a newly disclosed type confusion bug impacting the Google Chrome browser (CVE-2024-4947) that the tech giant has acknowledged as exploited in real-world attacks.
Federal agencies are required to update to a patched version of the software – Mirth Connect version 4.4.1 or later and Chrome version 125.0.6422.60/.61 for Windows, macOS, and Linux – by June 10, 2024, to secure their networks against active threats.
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Text extracted automatically; images, tables and formatting may be missing. Original: https://thehackernews.com/2024/05/nextgen-healthcare-mirth-connect-under.html