CVE-2020-27227

9.8 CRITICAL

📋 TL;DR

CVE-2020-27227 is an unauthenticated command injection vulnerability in OpenClinic GA that allows remote attackers to execute arbitrary commands on the server. This affects OpenClinic GA version 5.173.3 and potentially earlier versions. Successful exploitation could lead to complete system compromise.

💻 Affected Systems

Products:
  • OpenClinic GA
Versions: 5.173.3 and potentially earlier versions
Operating Systems: Any OS running OpenClinic GA
Default Config Vulnerable: ⚠️ Yes
Notes: The vulnerability exists in the default installation and requires no special configuration to be exploitable.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Complete system takeover, database exfiltration, credential theft, and persistent backdoor installation.

🟠

Likely Case

Database compromise and credential theft leading to further lateral movement within the network.

🟢

If Mitigated

Limited impact with proper network segmentation and web application firewalls in place.

🌐 Internet-Facing: HIGH - Unauthenticated remote exploitation allows attackers to compromise systems directly from the internet.
🏢 Internal Only: HIGH - Even internally, this vulnerability can be exploited by any user with network access to the application.

🎯 Exploit Status

Public PoC: ⚠️ Yes
Weaponized: LIKELY
Unauthenticated Exploit: ⚠️ Yes
Complexity: LOW

The vulnerability requires sending specially crafted web requests with specific parameters to trigger command execution.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: Update to latest version (check vendor for specific patched version)

Vendor Advisory: https://www.openclinic.com/security-advisories/

Restart Required: Yes

Instructions:

1. Backup your OpenClinic GA installation and database
2. Download the latest patched version from the official vendor
3. Follow vendor upgrade instructions
4. Restart the application service
5. Verify the fix is applied

🔧 Temporary Workarounds

Network Segmentation

linux

Restrict network access to OpenClinic GA to only trusted IP addresses

iptables -A INPUT -p tcp --dport [OPENCLINIC_PORT] -s [TRUSTED_IP] -j ACCEPT
iptables -A INPUT -p tcp --dport [OPENCLINIC_PORT] -j DROP

Web Application Firewall

all

Deploy WAF with command injection protection rules

🧯 If You Can't Patch

  • Isolate the OpenClinic GA server in a separate network segment with strict access controls
  • Implement application-level input validation and sanitization for all user inputs

🔍 How to Verify

Check if Vulnerable:

Check if running OpenClinic GA version 5.173.3 or earlier. Review application logs for suspicious command execution attempts.

Check Version:

Check the OpenClinic GA web interface or configuration files for version information

Verify Fix Applied:

Verify the OpenClinic GA version has been updated beyond 5.173.3. Test with known exploit payloads to confirm they no longer work.

📡 Detection & Monitoring

Log Indicators:

  • Unusual command execution in system logs
  • Suspicious web requests with shell metacharacters
  • Multiple failed login attempts followed by command execution

Network Indicators:

  • HTTP requests containing shell commands or special characters in parameters
  • Outbound connections from OpenClinic server to unknown IPs

SIEM Query:

source="openclinic.logs" AND ("cmd.exe" OR "/bin/sh" OR "bash" OR "powershell" OR "|" OR ";" OR "$" OR "`")

🔗 References

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