\[ y''(x)=-\frac {(-x-1) y(x)}{x^4}-\frac {y'(x)}{x} \] ✓ Mathematica : cpu = 0.0375322 (sec), leaf count = 24
\[\left \{\left \{y(x)\to e^{\frac {1}{x}} \left (c_1-c_2 \text {Ei}\left (-\frac {2}{x}\right )\right )\right \}\right \}\]
✓ Maple : cpu = 0.061 (sec), leaf count = 20
\[ \left \{ y \left ( x \right ) ={{\rm e}^{{x}^{-1}}} \left ( {\it Ei} \left ( 1,2\,{x}^{-1} \right ) {\it \_C2}+{\it \_C1} \right ) \right \} \]