With physical access, one has been able to create admin accounts for as long as I can remember. - Start up the Mac whilst holding down ⌘-S. This boots the Mac into Single-User Mode and provides a method of interacting with OS X via the command-line, with full root privileges. - Then check the filesystem to ensure there are no problems: "/sbin/fsck -fy" - Then mount the filesystem for it to be accessible: "/sbin/mount…
If I understood the article correctly, this can be exploited remotely by anybody who has managed to get a shell on the system.
Most OSX boxes are probably single user devices. But you do not normally run as root/wheel, you need sudo (sometimes through a nice GUI) for software to get root privs.
It's not 'somebody' as if another person were logged into their own account. It's that malware running as you can now get root, to further compromise your system, without needing a sudo password.