\[ y''(x)=-\frac {(-x-1) y(x)}{x^4}-\frac {y'(x)}{x} \] ✓ Mathematica : cpu = 0.039288 (sec), leaf count = 29
\[\left \{\left \{y(x)\to c_1 e^{\frac {1}{x}}-c_2 e^{\frac {1}{x}} \text {Ei}\left (-\frac {2}{x}\right )\right \}\right \}\] ✓ Maple : cpu = 0.051 (sec), leaf count = 20
\[y \relax (x ) = {\mathrm e}^{\frac {1}{x}} \left (\Ei \left (1, \frac {2}{x}\right ) c_{2}+c_{1}\right )\]