Thanks for you help. I hope your real life problems were easier to fix then this piece of malware has been.

The system is running mostly normal. The restore from backup utilities won't load anymore. I don't know if that was the virus or something that got hosed while trying to remove it.

I noticed that you had combofix send a sample of the infected file out for analysis. Who exactly gets the file and which utility will be updated to kill it in the future? It is a bit unnerving that at least three different antivirus programs failed to detect this thing.