File ntkrnlpa.exe is open or in use by another program

[Pack3t SynAck3r]

So you decided to use one of Mark Russinovich's tools.....I have only mentioned the SysInternals Suite about half a dozen times or so. Autoruns is one of the most useful tools in that suite if you are trying to kill viruses wherever you may find yourself. The ability analyze an offline system (which was an option incorporated about a year or so ago) is one of the most useful tools in chasing and ultimately deleting malware. Unfortunately SysInternals rootkit revealer is rather outdated, and I see you have found TDSSKiller, which can be a very useful tool. It's biggest problem, however is that it doesn't work against a rootkit unless it has already been in the wild, analyzed, and reverse engineered. The fun ones are the ones in which there is no tool that will auto detect and delete it. That is when it helps to be......VC